Student Research Application

Please complete the form below to submit your application for review. All fields are required.

First Name:

Last Name:

E-Mail Address:

Degree:

Street Address:

City:

State:

Zip Code:

Phone Number:

Institution:

Chair:

Title of Research Project:

Proposal (brief abstract):

Biography (short):

Proposal (10pg. Abstract):

Acceptable file types: doc,docx,xls,xlsx,pdf,txt.
Maximum file size: 10mb.

Budget:

This research has been approved by my Institutional Review Board, or equivalent. If no IRB, I commit to following the ethical guidelines of my discipline.

I agree to submit a copy of my final report within one year to pbahp@hotmail.com.

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Student Research Application