Community Based Undergraduate Research Grant Application 2016-17
Application Instructions
DEADLINE: 12:00 noon on Monday February 15, 2016
Center for Undergraduate Excellence
305 Harrison Institute/Small Special Collections Library
I. PREPARE THE FOLLOWING APPLICATION MATERIALS:
1) Completed application form (including list of research team members if applicable)
2) Copy of unofficial transcript (including for each team member if applicable)
3) Copy of resume (including for each team member if applicable)
4) If applicable provide a copy of International Studies Office’s Travel Form for Student Research
and Service Learning Abroad (see page 4)
II. SAVE YOUR APPLICATION MATERIALS AS ONE ADOBE PDF AND UPLOAD TO THE
CBURG ON COLLAB SITE (Adobe Pro software for combining files is available in the Scholars Lab).
1) Name your file in this format: “LastnameFirstname.pdf”
2) Go to the uvacollab site here (https://collab.itc.virginia.edu/portal/site/2c9d4b7d-0e6c-47db-b21ad1860c700dc7) and join the CBURG Application site.
3) Complete and then submit the application.
III. OBTAIN 2 LETTERS OF RECOMMENDATION (1 letter must be from your faculty advisor on
this project and the other must be an endorsement letter from the community organization)
Letters may be sent directly to the Center for Undergraduate Excellence, P.O. Box 400874,
Charlottesville, VA 22904 or emailed to Brian Cullaty at [email protected]. Alternatively, letters
may also be turned in to the CUE in a signed and sealed envelope.
Researcher Names: (if research is a partner project, identify lead researcher and research partner
name, majors and email addresses.):
A. Name:
U.Va. ID#:
E-mail Address:
Phone Number:
Major(s):
Year:
1st
2nd
3rd
Grad
B. Name (if applicable):
U.Va. ID #:
E-mail Address:
Phone Number:
Major(s):
Year:
1st
2nd
3rd
Grad
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C. Project Title:
D. If you (or your research partner) have applied for other research grants such as
Harrison Awards or Jefferson Public Citizens awards, please list. It is the intent of this and
other undergraduate research and service grant programs to support as many qualified proposals
as possible. While we encourage students to apply for any funds for which they are eligible, it is
unlikely that proposals will be selected to receive significant funds from more than one
competitive source.
1.
2.
3.
4.
E. Faculty Advisor Endorsement(must be a full time teaching and research faculty member)
Faculty Advisor:
Faculty Advisor’s department:
Faculty Advisor’s e-mail address:
Faculty Advisor, please initial the following items and sign below.
I agree to oversee the work of
[insert student’s name].
If the project involves human and/or animal subjects, I will advise my student to comply with the
policies of the University’s Institutional Review Boards. I understand that I may be required to
undergo online IRB training.
If the project involves international travel, I will advise my students to register with the
International Studies Office, submit the Travel Form For Student Research And ServiceLearning Abroad, attend a pre-departure orientation, and comply with any other ISO
requirements.
I will review the student’s final project and submit a one-page final evaluation to the Center for
Undergraduate Excellence. (This evaluation will be due in Spring 2017; you will be informed by
e-mail of this and any other deadlines.)
Signature of Faculty Advisor
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II. Student Statement
A. Student: Please initial the following items and sign below.
I promise to adhere to all Award procedures, including the submission of a final project, and
presentation.
If my project involves human and/or animal subjects, I will seek advice from my faculty advisor,
and I will comply with the policies of the University’s Institutional Review Boards.
•
•
•
•
•
If my proposed project involves international travel, I understand that:
I may not travel to any location with a U.S. State Department Travel Warning and, if such a
warning is issued while I am abroad, I must leave the country immediately in the safest
manner possible. (http://travel.state.gov/travel/cis_pa_tw/tw/tw_1764.html). Prior to my
departure, I will register with the International Studies Office and attend a pre-departure
orientation. www.virginia.edu/iso.
I am responsible for obtaining a visa and/or work or other permit required for my intended
destination.
I am responsible for getting appropriate inoculations and overseas health/emergency
coverage.
If I am an international student, I will consult with an international student advisor about my
visa status.
Signature of Student
B. Student (if two researchers are applying): Please initial the following items and sign below.
I promise to adhere to all Award procedures, including the submission of a final project, and
presentation.
If my project involves human and/or animal subjects, I will seek advice from my faculty advisor,
and I will comply with the policies of the University’s Institutional Review Boards.
If my proposed project involves international travel, I understand that:
•
•
•
•
I may not travel to any location with a U.S. State Department Travel Warning and, if
such a warning is issued while I am abroad, I must leave the country immediately in the
safest manner possible. (http://travel.state.gov/travel/cis_pa_tw/tw/tw_1764.html). Prior
to my departure, I will register with the International Studies Office and attend a predeparture orientation. www.virginia.edu/iso.
I am responsible for obtaining a visa and/or work or other permit required for my
intended destination.
I am responsible for getting appropriate inoculations and overseas health/emergency
coverage.
If I am an international student, I will consult with an international student advisor about
my visa status.
Signature of Student
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III. The Institutional Review Board:
If your proposed CBURG project will involve working with human or animal subjects, your
work may be subject to approval by the Institutional Review Board (IRB). The IRB ensures the
university’s compliance with federally mandated research guidelines. If awarded, your CBURG
proposal will be forwarded to the IRB and you will receive a message indicating whether your
proposed project will require an IRB submission. If so, you MUST submit an IRB protocol form.
For more information on the IRB, we strongly encourage you to watch a brief presentation
available online at:
http://www.virginia.edu/vpr/irb/learningshots/Undergraduate_Research/player.html
The IRB website address is http://www.virginia.edu/vpr/irb/.
This CBURG Project will involve working with human participants or animal subjects.
IV. Copy of International Studies Office’s Travel Form for Student Research and Service
Learning Abroad
If your proposed CBURG project will involve international travel, you will need to complete: 1)
the International Studies Office’s (ISO) Travel Form For Student Research and ServiceLearning Abroad (a two page pdf form) and 2) an online registration. The purpose of these
forms is to help your group reflect on and prepare for the unique conditions, opportunities and
challenges of proposing to conduct a CBURG research and service project outside of the United
States. Knowing that you may not have all the details of your project at this time, we ask that
you provide as much information as possible. Your responses will also be considered during
the review of your CBURG project application. In addition to answering several questions
about preparing for a CBURG project abroad, you will need to supply your travel dates and
travel destination at time of online registration. Start your application one week in advance to
ensure yourself sufficient time to complete the form.
See: http://www.programs.studyabroad.virginia.edu/?go=ZMTspa for the form and this web
site for instructions: http://www.virginia.edu/cue/pdf/InternationalTravelFormGuide.pdf
This CBURG Project will involve travel abroad. Copy of ISO’s Travel Form for Student
Research and Service-Learning Abroad is enclosed.
V. Community Organization Endorsement
Please attach endorsement letter from community organization. Letter should address the anticipated
impact of your research project on the organization’s activities. Email accepted if letter is to follow.
VI. Research Proposal:
Please discuss your proposal in the following sections:
Project Abstract (50 to 75 words): This will be used for promotional purposes on the CBURG
website.
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Introduce your topic and identify the problem (300 words):

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
Discuss any relevant literature. [A bibliography and footnotes can be added at the end (not
included in word count).]
If your project expands on a previous project (CBURG or another program), explain what
is new and different about your project.
This section must include a research question or hypothesis of your project in bold
typeface.
Describe you research methodology, e.g. (300 words max):


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What data will you collect and how will you collect it?
How will you analyze the data?
Why are these the appropriate methods for your project?
What are the limitations of your research methods?
Explain anticipated outcomes of your CBURG research-service project including (100 words max):
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
The service component of your project.
The impact of the project on the community.
The production of new knowledge.
How you will share the findings with your community partner.
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Include any Works Cited or Endnotes:
VII. Project Time Line Description (consider attaching a page with your on format):
Summer 2016:
Fall 2016:
Spring 2017:
VIII. Relevant Course Work, please list:
IX. Prior Relevant Experiences and/or Research, please list:
X. Project Summer Budget: up to $3,000 allowed for individual researchers or $5,000 for research
pairs
Transportation: Air, Bus, Boat, Taxi, Gas, Train
Meals
Lodging: Rent, Hotel, Hostel
Supplies, Lab*: Field equipment, Lab materials and Equipment
Supplies, Other*: Books, journals, Equipment
Travel Clinic: Immunizations, Medications, etc.
Other
**Total
* Lab supplies and equipment may be used from June 1, 2016 to May 31, 2017
**If your budget exceeds $3,000, how will you make up the difference? If you do not secure additional
funds, will $3,000 be enough for you to accomplish the project?
For your planning, please not that project funds are disbursed on June 1. Please append a
narrative for any part of your budget your would like to explain further.
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Project Evaluation Criteria:
1. Proposal presents a conceptual framework, method, and analysis that are well-developed and
appropriate to aims of project.
2. Project has potential for increased knowledge or social impact for community partner(s).
3. Project demonstrates researcher(s) independent initiative in developing a research question and
collaborating with the community partner(s).
4. Proposal addresses limitations of research project.
5. Project addresses ethical treatment of community partners and research subjects.
6. Proposal clearly explains how findings will be shared with community partner(s).
7. Researcher(s) possess the training, qualifications, coursework, and experience appropriate to the
project that will ensure its success. (faculty letter and transcript)
8. Proposal expresses clear understanding of the community environment(s) in which the research
project situates itself.
9. Community input has been incorporated into project conceptualization, design, and methodology.
10. Community partner demonstrates understanding of research project and is supportive of the
potential outcomes. (community letter)
11. Proposed costs are reasonable and consistent with the methods, aims and goals of the research
project.
12. Application contains all required materials and is presented in a clear, organized, and
professional manner.
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