Mini-Grant Application See below for rules and procedures for requesting funds. NameDate MM slash DD slash YYYY UINDegree M.Sc Ph.D. Email PhoneAmount Requested from Mini-Grant Program ($)Amount of match provided by Student’s Committee Chair or other faculty member ($)Account # for these matching fundsPlease Answer All of the FollowingHow will requested funds be used? Please give details including dates, location, and paper/poster title if applicable.Estimated expenses for above. Please itemize and justify (e.g., hotel, travel registration, etc.)Is/was your research or conference presentation supported by another grant or contract?YesNoIf yes, which grant or contract and why is the mini-grant still necessary?Please outline any relevant reasons why this application should be given special consideration.Student Signature I agree By checking the box, you acknowledge that the information you have provided is accurate. This serves as a declaration that you have provided truthful and reliable information. It is important to ensure the accuracy of the information you provide, as it may be used for various purposes such as legal agreements, data processing, or decision-making processes. Checking the box signifies your understanding of the significance of providing accurate information and your agreement to take responsibility for its authenticity.Student’s Committee Chair Signature I agree By checking the box, you acknowledge that the information you have provided is accurate. This serves as a declaration that you have provided truthful and reliable information. It is important to ensure the accuracy of the information you provide, as it may be used for various purposes such as legal agreements, data processing, or decision-making processes. Checking the box signifies your understanding of the significance of providing accurate information and your agreement to take responsibility for its authenticity. Δ
