UGR Coordinator Skip to question 60. Dean of The Honors College and International Affairs Skip to question 63. Sample

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1 Honors Project Proposal * Required 1. I am a(n): * Honors Student Faculty Mentor Skip to question 59. UGR Coordinator Skip to question 60. Dean of The Honors College and International Affairs Skip to question 63. THC Representative Skip to question 66. Meeting Status 2. Have you met with Dr. Carson to discuss your honors project? * Yes After the last question in this section, skip to question 4. After the last question in this section, skip to "Schedule." 3. What was the date of that meeting? Example: December 15, 2012 Schedule Please call the Honors College at to schedule an appointment with Dr. Carson, the Coordinator of Undergraduate Research and External Scholarships. Honors Student Information # * Sample 5. Title * Mr. Ms. Other Prefer t to Answer 6. First Name *

2 7. Middle Name 8. Last Name * 9. UCM * 10. Address * 11. City * 12. State * 13. Zip * 14. Phone Number * ###-###-#### 15. Expected Graduation Semester * Fall Spring Summer 16. Expected Graduation Year *

3 17. Planned Enrollment Semester for HONR 4000 * Fall Spring Summer 18. Planned Enrollment Year for HONR 4000 * Primary Academic Major * 20. Primary Academic Minor Skip to question 21. Faculty Mentor Information 21. Mentor Title * Dr. Mr. Mrs. Ms. 22. Mentor First Name * 23. Mentor Last Name *

4 24. Mentor College College of Arts, Humanities, and Social Sciences Harmon College of Business and Professional Studies College of Education College of Health Science and Technology Library Services 25. Mentor Department 26. Mentor Campus Address * 27. Mentor UCM * 28. Mentor Campus Phone Number * Skip to question 29. Honors Project Information 29. Title of Research/Creative Project * 30. What format will the project be presented in? * (Check all that apply). Check all that apply. Art/Sculpture/Photography Artistic Performance Audio Compilation Paper/Publication Poster Video Compilation Other 31. If you checked other, please specify the format in the space below.

5 32. Please provide an overview of the aims, objectives, or rationale of the project. Briefly review what has already been done on this subject. Why should this research or creative endeavor be undertaken? What new knowledge or insight will you contribute to this area of scholarship or creativity? Provide a general introductory framework of existing approaches and analyses of the subject area of your project. * 33. What procedures, methods, or approaches do you plan to use to develop your project? Why are these appropriate for your work? * 34. What results do you expect to achieve? Why? How will these differ from what is currently known about your project topic? * 35. How is this project related to your future career goals? * 36. Have you submitted your abstract for consideration at this year's Scholars Symposium and Creative Achievement Day? * Yes Skip to question 37. Skip to "Scholars Symposium and Creative Achievement Day submission." Scholars Symposium and Creative Achievement Day submission Please consider submitting your project for presentation at this year's symposium ( ).

6 Human and Animal Subjects Please note that in most cases, and in accordance with federal law, research projects involving human subjects must be approved by UCM s Human Subjects Review Committee ( and research projects involving animals must be approved by UCM s Institutional Animal Care and Use Committee ( To determine if your project requires such approval, and to access the information and forms required for submitting your application to one of these committees, access the links above. 37. Will your project involve human or animal subjects? * Yes Skip to question 38. Skip to question 39. IRB/IACUC Status 38. What is the status of your application with the review board? Approved Pending Approval Denied Budget Request 39. Have you previously requested funding for your honors project through a supplemental budget request? Yes 40. Are you currently requesting funding for your honors project? Yes Skip to question 41. Stop filling out this form. Budget Details 41. What is the total amount of funding that you are requesting? * Please enter in 0 if you are requesting nothing.

7 42. Please detail the alternative sources of funding for this project (e.g. department, study abroad grant, Dean's list travel grant, THC study abroad grant). If there are none, please enter When is the funding for your project needed? * Example: December 15, Which of the following do you intend to use the funds for? * Supplies Skip to question 45. Travel Skip to question 47. Both Skip to question 45. Supplies When calculating expenses, remember to allow for shipping/handling and tax when warranted. 45. List the vendor/distributor, item/part number, name of the item requested, cost, and a short justification of each item. * 46. Are you also requesting funding for travel? * Yes Stop filling out this form. Travel 47. What is the start date of your travel? * Example: December 15, What is the end date of your travel? * Example: December 15, 2012

8 49. What is the name of the event, destination, etc.? * 50. Is this travel part of a study abroad program? * Yes 51. Please provide a brief description for why travel is essential for successful completion of this project. If travel is associated with a study abroad experience, explain how these expenses exceed those required of all participants on the trip. 52. Where is the event? * 53. Is this an international or domestic location? * International Domestic 54. Enter your estimate for ground transportation. * Enter $0 for no expense. 55. Enter your estimate for airfare. * Enter $0 for no expense. 56. Enter your estimate for lodging. * Enter $0 for no expense. 57. Enter your estimate for conference registration. * Enter expense.sample $0 for no 58. Enter your estimate for food. * Enter $0 for no expense.

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