HONOURS SUMMER RESEARCH AWARD 2016
APPLICATION FORM
PART 1 – APPLICANT AND PROJECT INFORMATION
For completion by the student applicant. Please complete as a Word .doc
Name: ______Student # ______
Current Address: ______Telephone # ______
______Email: ______
Department/School: ______Year of Study: ______
PREVIOUS AWARDS, ACCOMPLISHMENTS AND RELEVANT EXPERIENCE
Please list awards, scholarships, assistantships, research experiences, etc., and dates held. You may also provide any other information (100 words max) about yourself that supports your application for this research award.
PROPOSED RESEARCH
Provide a brief (200 words max) outline of the proposed research. Additional pages will be removed.
Title:
Description:
PROPOSED WORK PERIOD
Awards may be held for 2 to 4 months between May and August.
Start Date: ______End Date: ______
When Part 1 has been completed, the applicant should forward the application as an email attachment to the person providing an evaluation in Part 2.
Part 2 – EVALUATION OF PROJECT AND APPLICANT
To be completed by the supervisor or another professor familiar with the student’s work.
1) Please check which best describes the student’s ability to work independently and exercise initiative on a research project:
( ) outstanding ( ) above average
( ) average ( ) below average
2) Please comment briefly on the student’s proposal and his/her suitability for this award.
Name of professor providing evaluation: ______
Signature: ______Date: ______
Part 3 – CONFIRMATION OF SUPERVISION
To be completed by supervisor.
I am willing and available to supervise the project described above during the summer of 2016.
Supervisor financial contributions to the research award increases the number of student awards that Acadia can support. If you are able to assist with funding a portion of the award, what amount of funding are you willing to provide? $ Amount from (account number). This amount must be available at the time of application. Please note that co-funding is not a requirement and that all applications will receive the same level of consideration.
Name: ______
Signature: ______Date: ______
The supervisor must forward the entire application to the Department/School administrator by February 8th, 2016.