URCA Grant Application Form

Use this form to submit your request for a Fall 2024 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 November 15, 2024.

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

Attach Project Timeline

I understand that if I receive an URCA Grant I must share my results at URCA Week in May 2025.

I agree