URCA Grant Application Form

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Use this form to submit your request for a Fall 2023 URCA Grant.

This form cannot be saved. Once you submit the application, you cannot make any changes.

Ensure that you have reviewed the Grant Application Guide, before submitting your application.

PERM Number

Preferred First Name

Last Name

What academic department is your major in?

Select the department most relevant to this request if you are a dual major.

Proposal Details

Proposal Name

Proposal Abstract

Not to exceed 100 words.

Sponsorship Details

The mentor endorsement form is available online. You may send it to your professor at any time and they will be sent a link to the form when applications close.
All faculty forms must be received on or before December 1, 2023.

Faculty Mentor

Faculty Mentor Email Address

Mentor's Primary Academic Department

Budget Details

Expected Expenses Incurred By Student

Student Expense Total

Poster Printing Cost

Poster Printing Total Cost

Expected Expense Total to be Incurred by Department

Department Expense Total

Total Requested Amount

URCA grant requests cannot exceed $750.00

Supporting Documents

Attach the required supporting documentation using these fields. They must be in PDF format. You download the templates from the URCA Grant Application Guide,

Attach Project Plan

Attach Budget Form

I understand that if I receive an URCA Grant I must share my results at URCA Week in May 2024.

I agree

Save my progress and resume later | Resume a previously saved form