ࡱ> wyvO PNbjbjςς >vee l l 8li.]SSSS  -------$i14L.].SS4e.k!k!k!RSSr,pk!-k!k!VR(@(S0F( ^,{.0.(Tk4_k4(k4(lk!.. Z.k4l w: UP-KYCOM SUMMER RESEARCH FELLOWSHIP APPLICATION FORM Applicant InformationName:  FORMTEXT      Class Year:  FORMTEXT      Accumulative Grade Value:  FORMTEXT      Email:  FORMTEXT       Have you received a UP-KYCOM Summer Research Fellowship before? Yes  FORMCHECKBOX  No  FORMCHECKBOX If Yes, which year(s):  FORMTEXT      Primary Mentor InformationName:  FORMTEXT      Title:  FORMTEXT      UP-KYCOM affiliation or home institution:  FORMTEXT      Phone:  FORMTEXT      Email:  FORMTEXT      Fax:  FORMTEXT      Project InformationTitle of the Project:  FORMTEXT      Key words (no more than 6):  FORMTEXT      Performance Site (Room/building, Institution, City, State):  FORMTEXT      Will human or animal subjects be used in the project? Human  FORMCHECKBOX  Animal  FORMCHECKBOX  N/A  FORMCHECKBOX  Note: All personnel must complete the required CITI training prior to participating in the proposed project.Has the required protocol been approved by either IRB or IACUC? Yes  FORMCHECKBOX  No  FORMCHECKBOX If Yes, please provide the protocol #: FORMTEXT      If No, please explain (i.e., review pending or to be submitted):  FORMTEXT      Please list all required training that needs to be completed to conduct the project (please consult with your mentor) and the status for each (completed or will be completed by): e.g., at UP-KYCOM, the Laboratory Safety Training is required for everyone who works in a research laboratory. Note: All training courses must be completed by the date(s) specified below for a fellowship recipient to receive payment. UP-KYCOM Research Training - by (month/day/year) CITI online training modules for research with human subjects or animals (if appropriate) by (month/day/year)  AGREEMENT REGARDING FUNDS RECEIVED BECAUSE OF THIS APPLICATION The undersigned agree:  hjlnpr       , 0 : < D F H J ^ ~zszszs hz>}hz>}hz>}jhWhdUjhWhdUmHnHujhWhdUjhWhdUhWhd hshWhd hAUhWhdhRwhshRw5hEhchCJhshE5hEhE5CJ hch5 h_"5 h"5hshch5 hO:5)Hlnpr p |ssgs $$Ifa$gdz>} $Ifgd'lkd$$Ifl *+ t0644 layt $Ifgdsgds$a$gds ^ ` b l n p | ~ .     8 : < > @ b j l ̺qmih}hjXhQh3GUjhQh3GU hQhi"jhQhi"Uhn#hi"h'LhO:hF! hshn# hAUhn#jhWhdUhWhd hAUhWhd hshWhdjhWhdUmHnHujhWhdUjbhWhdU' . > YPPG $Ifgd' $Ifgdskd6$$Iflw\ d *n b| t0644 laytz>}l n       * , . 8 : < B L d û˷ӷәϷjh'Ujh'UhO:hEjYh'Ujh'Uh}hn#hshRw5hPwhA8V5hRwh8 hshn#jh'UmHnHujh'Uh'jh'U2 v $Ifgdskd6$$Ifl0 *| t0644 laytz>} z $Ifgds|kd$$Ifl*+  t 0644 lap ytn#  < {o $$Ifa$gd8$<$Ifa$gd8 $Ifgd'lkdk$$Ifl *+ t0644 layt & X lccc $Ifgd'kd9$$IflF *} | t06    44 laytz>}    " $ & . 0 2 F H J T V X Z ^ ,.0:<>@Xb~鏭 hsh}\ ^ z $Ifgds|kd $$Ifl*+  t 0644 lap ytn# $<$Ifa$gd'lkdZ $$Ifl *+ t0644 layt >$<$Ifa$gd'lkdH $$IflE*+ t0644 laytE>$<$Ifa$gdJ%lkd0 $$Ifl**+ t0644 laytE^`|~ yrdyZPhsh_"56hshr56j~hQhA8VU hQhA8VjhQhA8VU hshA8VhA8Vj hQhrDUj hQhrDU hQhrDjhQhrDUh hshr hsh>==jh'Uh}jh'UmHnHuj^h'Uh'jh'UjhQhi"UjvhQhi"U hQhi"jhQhi"U hshrhhr h56hshr56)_`r$<$Ifa$gd' $Ifgd' $Ifgdslkd$$Ifl0*+ t0644 layt~? .l^RD4$ & F$Ifa$gd^$<$Ifa$gd^ $$Ifa$gd\E$<$Ifa$gd\Ekd2$$IflF, * | t06    44 laytz>}48:Bf  "CD`klmʼ|ng hPwh^h}h}56CJaJh56CJaJh_"56CJaJh}hqA56CJaJh}h@56CJaJh}h_"56CJaJh}h*56CJaJ hshJShaEhO:hEhJSh*h@hqAh_"hA8Vh hsh*(-FFZFFFFFFFFFFGJGLGGG0HyqiahoCJaJh"CJaJhO:CJaJh"0JCJaJho0JCJaJh0JCJaJhhr0JCJaJUhhrCJaJhsh_"5hshr5hrh3G@CJaJhh^hh^CJaJhh^h*hEhi~h"hO: hPwh^ hPwh_"$.rpg $Ifgdchlkd$$Ifl3*+ t0644 laytE$$If^a$gdE$ & F$Ifa$gd^PG*H:Iwn]]]h$If^h`gd $Ifgds $$Ifa$gds|kdP$$Ifl *+  t 0644 lap yt-V1. To complete the project as outlined herein and fulfill all requirements outlined in Section V of the  UP-KYCOM SUMMER RESEARCH FELLOWSHIP Application Instructions . 2. To observe institutional responsibilities concerning the protection of animal or human research subjects. 3. To follow all training requirements and related institutional policies when conducting a research project at a selected institution.Applicant Signature: Date:  FORMTEXT      Faculty Mentor (Primary) Signature: Date:  FORMTEXT       Research Proposal  Please refer to Section II-B in  UP-KYCOM SUMMER RESEARCH FELLOWSHIP Application Instructions . 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