Sponsorship Application Instructions and Information: Modification Form
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1 Sponsorship Application Instructions and Information: Modification Form The Modification Application Form is used to request adjustments to an existing award if your travel or research plans have changed and you would like to request that your award be applied to a different scholarly activity or if you need to modify your research material budget. The new activity should occur during the same cycle for which the original sponsorship funding was awarded. I. Student Eligibility Only complete application packets where applicants meet the following criteria will be considered for Sponsorship funding: Only officially admitted UNLV graduate and professional students who currently enrolled are in a recognized graduate degree or professional program may apply for sponsorship funding. o Funding may not be awarded to UNLV graduate and professional students who will have graduated prior to the start of the semester for which funding is awarded (e.g., a student may not apply for Emergency Cycle funding for an event that occurs during winter intersession if s/he graduates in the previous Fall semester). Each applicant must conduct his/her project with a graduate faculty member. Only activities that make a contribution to the applicant s field as well as directly affect their degree program are eligible for funding Students who have received GPSA sponsorship money and have since had the opportunity to present at the annual GPSA Student Research Forum but have not yet done so are not eligible for additional GSPA sponsorship funding. o After a student presents at the GPSA Student Research Forum, they once again become eligible for GPSA sponsorship funding. Applications may not be submitted more than once for the same activity regardless of whether funding for that activity was granted or denied in a previous cycle II. Fraudulent Documentation Submission All applications must be the original work of the applicant. Repeat or duplicate applications, and applications with sections duplicated from any other application will not be considered for sponsorship funding (even where individuals in a group are applying separately for their part in the same activity). The presentation of false or otherwise incorrect information will lead to Modification 1
2 immediate disqualification of the application, suspension of an further GPSA funding, a freeze on any existing GPSA funds account, the immediate repayment of any funds utilized toward the above mentioned research project, and the student will be referred to the Office of Student Conduct for further consideration. III. Funding Limitations and non covered items No applicant may obtain more than two (2) GPSA sponsorship awards per academic year. No more than one emergency sponsorship application will be awarded per year. Only one application per applicant may be submitted for each sponsorship cycle (Fall, Spring, and Summer). Each application may request funding for a single activity, project, or event. No individual shall receive more than one thousand two hundred and fifty ($ ) dollars per academic year. Any items that have been purchased prior to the starting date of the sponsorship award are not reimbursable. Salaries, wages, honorarium, tuition, volunteer/participant compensations, routine supplies, and thesis/dissertation copies are not permissible and, therefore, are considered non covered items. IV. Required Application Items All sections of the application cover sheet must be filled out completely and all required items must be included in the application packet. Applications missing any component are considered incomplete and therefore will not be considered for sponsorship funding. Section 1: Cover Sheet The cover page must be signed, dated, and all sections completely filled in. The cover sheet is an interactive PDF and all information should be typed onto the page and not handwritten. Section 2: Explanation of Activities for New Activity (1 page maximum) This section should briefly explain why you no longer wish to utilize the sponsorship award for the activity for which funding was originally approved. It should also include a thorough explanation of the new activity to which you wish to apply your awarded funding. Section 3: Letter of Recommendation One letter of recommendation is required from a member of the student s committee, preferably the committee chair in support of the new activity being requested. Modification 2
3 IV. Required Application Items (continued) Section 4: Itemized Budget for New Activity This budget should reflect the costs of engaging the new activity and note any differences between the amount requested here and the original award amount. Section 5: Approval Form(s)/Acceptance Letter for New Activity (if applicable) Conference/Event Travel Acceptance Letter: For individuals applying for conference/event presentation, include a copy of your presentation acceptance letter. Applicants that have not yet received notification of acceptance may be provisionally awarded monies provided they submit proof of acceptance prior to the release of funds. Research Activities Approval Form(s): Where applicable for individuals applying for research funding, animal use or human subject approval forms shall be submitted when required for the applicant s project. Check with your department chair or the UNLV Office of Sponsored Programs for further information: Modification 3
4 ItemizedBudget DissertationTravelforDataCollection TravelItem Description* UnitCost TotalCost Airfare Lodging Airlinefeesand taxes¹(delta) Hotelfeesand taxes²(redroof Inn) For1adultticket ($42.80infees andtaxes) $58.32avg.daily cost(7.63indaily feesandtaxes 3 nightstay) $ $ Amount Requestedfrom GPSA $ $ Transportation Carrentalfeesand taxes³(enterprise EconomyCar) $30.06average dailycost($22.11 indailyfeesand taxes 3day rental) $ $ Parking $12.00/day $36.00 $36.00 Perdiem FoodandGas $56.00/day $ $0.00 TotalrequestedfromGPSA Totalamounttobepaidbystudent Totalprojectedcosts $ $ $ *ExplanationofCosts ¹Deltaairlineswasselectedbecauseittheleastexpensivecarrierthatarrivedanddepartedatthenecessary times.ihaveselectedaredeyeflightintomadison,wiinordertoarriveoncampusintimeformyclassroom observationsonthursday,october27 th.iwillbeleavingmadisononsunday,october30 th inorderto accommodateadditionalinterviewswithinmytravelschedule. ²TheRedRoofInnwaschosenasitistheleastexpensivehotelinthenearvicinityoftheUWMadisoncampus. Therearelessexpensiveoptions;howevertheyareonlyslightlylessexpensiveandsignificantlyfurtherawayfrom campus. ³Ichosetorentaneconomycarinordertotravelbetweentheairport,hotel,andtheUWMadisoncampus.Ihave assessedtaxitransportationtoandfromtheairportandbetweenthehotelandcampusanddeterminedthatit waslessexpensivetorentacarandparkratherthanpayforataxiserviceforthedurationofmytravels.no shuttleservicewasofferedattheredroofinn,noratanyofthehotelsinthearea. Parkingfeesforoncampusparkingareaccesseddaily.AsIwillbeoncampusfrommidmorningtomed afternoon,alldayparkingwasselectedasthelessexpensiveparkingoption. PerdiemcostswereidentifiedbytheUSGSAat$56.00/dayforMadison,WI(seeAppendix).Pleasenote,this costhasnotbeenrequestedaspartofthisapplicationforgpsafunding.discretionaryspendingwillbeprovided atthestudent sexpense.
5 Sponsorship Application Modification Checklist Modifications should be submitted during the same cycle for which original funding was awarded. All information provided within the application will refer to the new activity unless otherwise noted. The following sections are REQUIRED unless otherwise stated. Applications missing any components are considered incomplete and therefore ineligible for sponsorship funding. Cover Sheet o All sections complete o Signed and dated Explanation of Modification Request o Describes why original award will no longer be used toward the approved activity o Explains why the new activity is a reasonable replacement for original activity Explanation of New CONFERENCE TRAVEL Activities (1 page maximum) o Concise summary of the research being presented including methodology and findings o Identified the applicant s role in the research and presentation o Significance of research being presented to field of study, UNLV, and community Explanation of why the project should be funded by the GPSA o Planned activities at conference o Statement of intended use of funds Dated copy of your presentation acceptance letter (if applicable) OR Explanation of New RESEARCH TRAVEL Activities (1 page maximum) o Concise project summary identifying the project goals and applicant s role in the project o Methodology and expected results o Significance to field of study, UNLV, and community o Explanation of why the project should be funded by the GPSA o Timetable from initiation to completion of project o Statement of intended use of funds IRB / IBC / IACUC approval form(s) (if applicable) Itemized Budget for New Proposed Activity o Itemized and organized o Detailed o Justified o Supporting documentation and cost comparisons provided for each item Modification
6 Modification of Sponsorship Application Cover Sheet Applications missing any component are considered incomplete and therefore will not be considered for sponsorship funding. Applicant Information Name: NSHE ID: Department/School: *Note: Per UNLV policy, all correspondence must be sent to your RebelMail account, therefore we are unable to accept applications that do not include a valid RebelMail address. Degree(s) Sought: Masters PhD JD DDM PhD / Masters Streamline DPT Term Admitted to Program: Fall 20 Anticipated Graduation Term: Fall 20 Spring 20 Spring 20 Summer 20 Summer 20 Advisor(s) Name(s): Application Details Modifications should be submitted in the same cycle for which the original application was funded. Fall Cycle considers activities occurring during fall semester. Spring Cycle considers travel occurring during winter intersession and spring semester. Summer Cycle considers travel occurring after spring semester, but before the start of fall semester. Original Application: Fall New Activity Type: Conference Presenting: Yes Amount Requested: $ Spring Performance No Summer Competition N/A Research / Research Travel No Change from Original Funded Amount New Activity Title: New Activity Start and End Dates: / / to / / Is this new activity part of your thesis, dissertation, or culminating project? Yes No Funding Question Have you received funding for this project from any other source(s)? Yes No Source(s): Amount: $ Have you or do you plan to apply for funding for this project from any other source(s)? Yes No Source(s): Amount: $ I attest that all of the above information is true and complete, and that I will be enrolled in my degree program and will not have graduated during the semester for which I am applying to receive funding for the above mentioned research project. I understand that the Sponsorship Committee may investigate any of the materials or statements presented in this application package, and that the presentation of false information will lead to immediate disqualification of the application, suspension of an further GPSA funding, a freeze on any existing GPSA funds account, and the immediate repayment of any funds utilized toward the above mentioned research project. Signature: Date: / /
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