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2018ollaborateJUapplicationform

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ORSP: Collaborate JU Application - V. 8/31/2018
“Collaborate JU”
Interdisciplinary Research Projects
Application Form
Instructions: Please be sure to read the Collaborate JU Request for Proposals available
on the ORSP webpage. Complete this fillable form and submit with required attachments to
EPIC@JU.EDU before 5:00 pm local time on or before
Monday, October 15, 2018, for projects starting January 7, 2019.
Decisions announced by Monday, December 10, 2018.
I. Faculty Information (attach additional pages for more than two faculty, as necessary)
Name:
Area(s) of Specialization:
Title/Rank:
Department: Ph:
Name:
Area(s) of Specialization:
Title/Rank:
Department: Ph:
II. Student Information (attach additional pages for more than four students, as necessary)
Name: Name:
Area of Study:
U/G Graduate
Area of Study:
U/G Graduate
Name: Name:
Area of Study:
U/G Graduate
Area of Study:
U/G Graduate
III. Project Details
Project Title
Amount of this Request
Project Abstract:
Provide a description of the project using layperson’s language, 200 words or
less.
ORSP: Collaborate JU Application - V. 8/31/2018 2
Research Compliance: Does this project
involve research that involves living human
subjects or animals?
*Yes No
*If yes, applicants are required to have
approval from the Institutional Review Board
or the Institutional Animal Care and Use
Committee prior to beginning any work on the
project. Funding will not be released until
IRB/IACUC approval is confirmed.
Applicants are invited to use the electronic signing feature built into this form. Simply click in the
box, and instructions for creating a digital signature will appear. Sign, save, and forward the file to
the next person to repeat the process. Once all electronic signatures are obtained and returned to
the applicants, the applicants should save the file and include it with their submission email. Hand-
written signatures may also be obtained, scanned, and attached to the submission packet, but please
note, once a form is hand-signed and scanned in as a PDF, the electronic signature feature will be
de-activated and all other signers will have to sign with a hand-written signature, versus electronic.
Investigator(s) Assurance: (all faculty applicants must sign)
By signing this Application Form, I: 1) acknowledge and accept responsibility for the technical content
and quality of the proposed project; 2) assure that the information contained on this form/packet is
true, accurate and complete to the best of my knowledge; 3) acknowledge that any equipment
purchased with Collaborate JU funds is JU’s property and will be inventoried yearly; and 4) agree to
abide by all State of Florida Department of Education EPIC reporting and spending regulations and
requirements.
Faculty Applicant 1:
Chair:
College Dean:
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2018ollaborateJUapplicationform

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Completed 17 February 2020

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