MAYS Grant application PART I To be completed, printed, signed and turned in to the URCA Office by the deadline.

DO NOT submit electronic copies of Items 1-6.

2017-2018 Deadlines

1. Application Cover Page: All items on the cover page should be completed.

2. Project Information Page: All items on the project information page should be completed.

3. FERPA Signature Page: This must be signed by the student, faculty mentor(s) and the Department

Chair(s). The signatures required do not reflect approval or recommendation for funding; they merely attest to the accuracy of the administrative details.

4. Proposed Budget Table: A completed project budget using the appropriate budget form (MAYS or RPG) must be submitted. The total cost of the project (URCA funding and other funding) must be clearly indicated on the budget form. Please refer to URCA guidelines for specific budget limits. No funds may be transferred or paid to mentors outside the College of Charleston.

5. Faculty Recommendation Form and Letter of Evaluation: Each faculty mentor involved in the project should provide an evaluation of the student using the form and the scale provided. Additionally, each faculty mentor should submit a letter of evaluation for the student. The evaluation form should be printed, signed by the student, and then given to the faculty mentor to be completed. The letter should be printed on official letterhead, and describe the student’s aptitude for the work, nature of the mentor’s previous

interaction with the student, and the mentor’s opinion on the likely effect of the experience on the

student’s development. If the student has earned grades lower than Bs in courses relevant to the project, the faculty mentor should explain why he or she believes the student is academically prepared to do independent work on the project and to benefit from the scholarly experience. In the case where there are two faculty mentors, each mentor must independently evaluate the student. After the mentor(s) has completed the evaluation form he/she should attach the letter of support and place both items it in a sealed envelope that is signed on the flap.

6. Transcripts and Schedule: A complete unofficial transcript from EACH higher education institution attended by the student applicant and a schedule of intended coursework during the project period must be submitted. NOTE: Degree audits are not accepted. If a student has received grades from another institution on coursework that counts toward CofC graduation requirements, the unofficial transcript from the institution must be submitted with the application. It is not sufficient that the courses are listed on the CofC transcript.

MAYS Application Cover Page

Applicants should refer to the URCA Program Description and Guidelines to ensure a

complete application. Incomplete applications will not be considered for funding.

PROPOSAL TITLE:____________________________________________________________ PRIMARY MENTOR APPLICANT*: UNDERGRADUATE APPLICANT**:

NAME: _____________________________ NAME: ___________________________

CofC Email: _________________________ CofC Email: _______________________

Department: _________________________ CofC ID Number:___________________

Primary Major: _____________________ Faculty Status: Current Enrollment Status: ☐ Tenured/Tenure-track ☐ Full-time (12 hours or more) ☐ Instructor ☐ Part-time (less than 12 hours) ☐ Visiting ☐ Adjunct ☐ Other (please specify _____________) *Please note in the guidelines the eligibility criteria for faculty mentors and limits on number of grants per faculty mentor. **If more than one student will work on a project, separate applications must be submitted for each student. SECONDARY MENTOR APPLICANT: NAME: _______________________________________________________ Institutional Affiliation: __________________________________________ Department: ____________________________________________________ Email: _________________________________________________________ Revised 5/22/2017 Page 1

Undergraduate Applicant: _________________________________________

Project Information Page REQUESTED DATES OF PROJECT SUPPORT (mm/dd/yy): From ______ To ______ TOTAL AMOUNT REQUESTED FROM URCA: $_______________

1. Does the proposal involve research on human subjects? ☐Yes ☐ No If yes, status of the IRB request (no funds can be awarded without IRB approval): ☐Submitted ☐Approved 2. Does the proposal involve research with live vertebrate animal subjects? ☐Yes ☐No If yes, status of the IACUC request (no funds can be awarded without IACUC approval): ☐Submitted ☐ Approved 3. Have student or faculty applicants received URCA support for this or any other project in the

past 12 months or do they currently hold funding through the URCA program? ☐Yes ☐No If yes, which type? ☐SURF ☐MAYS ☐RPG ☐AYRA If the applicant holds funding in the current cycle, specify name of applicant and award

amount: 4. Does the student have another proposal under consideration by URCA during the current

cycle? ☐Yes ☐No If yes, what type of grant proposal is it? ☐MAYS ☐RPG 5. Does the faculty mentor have another proposal under consideration by URCA during the current cycle? ☐Yes ☐No If yes, what type of grant proposal is it? ☐MAYS ☐RPG 6. Is there another internal proposal current or pending for this research/creative work? ☐Yes ☐No If yes, please list the source(s) as well as amount of request and dates of award: 7. Is there an external proposal current or pending for this research/creative work?

☐Yes ☐No If yes, please list the source(s) as well as amount of request and dates of award: 8. Does the project involve biohazards or other safety issues? ☐Yes ☐No 9. Does the project have potential for copyright or invention? ☐Yes ☐No Revised 5/22/2017 Page 2

FERPA WAIVER The Family Educational Rights and Privacy Act (FERPA) of 1974 establishes the rights of students with regard to educational records. The act makes provision for inspection, review and amendment of educational records by the students and requires, in most instances, prior consent from the student or their parent/guardian if under the age of 18 for disclosure of such records to third parties. The consent must be in writing, signed and dated by the student and must specify records to be released, reason for release, and the names of the parties whom such records shall be released. The act applies to all persons formerly and currently enrolled at an educational institution. Access to educational records does not give permission to make changes to the student’s record. For more information visit: http://www.ed.gov/policy/gen/guid/fpco/ferpa/index.html I hereby give permission for the College of Charleston Undergraduate Research and Creative Activities personnel and committee members to obtain information concerning my academic transcript information concerning my academic advising notes information concerning my in-class performance and grades This waiver will be in effect as long as I am a student at the College of Charleston, or seeking the services of faculty and staff on the College of Charleston campus. Signatures (Required for All participants): Please read the URCA Guidelines prior to signing this page. Signatures below indicate awareness of and intention to follow appropriate Program, FERPA Waiver, Departmental, School, College and State rules and regulation for conducting projects, travel, and expenditure of funds. SIGNATURE & DATE, Undergraduate Applicant: ____________________________________ SIGNATURE & DATE, Faculty/Mentor Applicant: ___________________________________ SIGNATURE & DATE, Faculty/Mentor Applicant: ___________________________________ Chair: I acknowledge that the above student and faculty mentor are applying for an URCA Grant and that the funds for successful proposals will be transferred into the departmental R & D account for disbursement based on the budget included in this proposal. SIGNATURE & DATE, Chair: ____________________________________________________ SIGNATURE & DATE, Chair: ____________________________________________________ Revised 5/22/2017 Page 3

Undergraduate Applicant: _______________________________________________

MAYS Proposed Budget Table: Complete the MAYS project budget using the budget form below. The total cost of the project (URCA- funding and other funding) must be clearly indicated on the budget form. The total budget request from URCA may not exceed $4000.

The table below must be complete to ensure review of your project. Any items that are left incomplete will render the application ineligible for review.

I II III IV MAYS

Funding Requested*

Dept/School Other Internal Support

for Project

External Support for

Project

Total Cost of URCA Project

(Add Columns I- III for each row)

A. Student Travel*

B. Faculty Travel*

C. Supplies &Materials

D. Other

E. Total Costs PerColumn (Add valuesfrom cells A-D foreach column)

*No travel will be awarded for the dissemination of project results. Travel funds for projectpresentations must be requested by submitting an RPG application.

NOTE: All of the URCA funds supporting MAYS projects must be expended by the last day of Maymester in the academic year in which the award is made.

Revised 5/22/17 Page 4

Revised 5/22/17

Faculty Mentor Recommendation Form – One Form per Mentor (Please print and attach letter of evaluation. ONLY submit with the hard copy application in a sealed envelope that is signed on the flap).

This section is to be completed by the student applicant: Student Applicant Name: ______________________________________ The student applicant named above requests that the faculty mentor named above submits a letter of recommendation as part of the URCA application. The student must indicate whether or not he/she will waive the right of subsequent access to this recommendation letter. _____ I do waive my right of subsequent access to this recommendation form. _____ I do not waive my right of subsequent access to this recommendation form. ______________________________________________________________________________ Signature of Student Applicant Date This section is to be completed by the project mentor. For how long have you known the student applicant? ___________________________________ Nature of your past interactions (if any) with student applicant: (circle all that apply) teacher / student mentor / researcher advisor / student social settings other (please explain)______________________________________________ Please rate the student applicant on a scale of 1 - 5 (5 being the highest, N.O. for not observed) in comparison to other students at the College of Charleston. Independence: ____

Knowledge appropriate to the project: ____

Critical thinking: ____

Work ethic: ____

Communication skills: ____

Creativity: ____

Ability to work with others: ____

Research potential: ____

Please provide a letter of evaluation for the student, attach it to this form and submit it in a sealedenvelope signed on the flap to ensure confidentiality.