Graduate Student Cancer Research Award

**This award is to be submitted by the PI, not the graduate student.**

SUBMISSION OF APPLICATION - It is strongly encouraged for you to read over the application, collect all relevant information, and assemble all documents before starting to fill out the application. There is no "save in progress" option on this form.

Assembled document requirements: 12 pt ariel font, 1 inch margins. Applications that do not meet requirements or provide the necessary documentation will be administratively triaged.

If you see this don't fill out this input box.

PI GENERAL INFORMATION

Name (Last, First)*

Email *

Phone

Department*

Campus Address*

Co-PI GENERAL INFORMATION (if applicable)

Name (Last, First)

Department

Additional Co-PIs

List all other co-PIs who will work on this proposed project: Name, email, and department.

JCRC Funds and Positive Outcomes

Current Balance of JCRC funds in your account?*

If none, please state such.

For the JCRC funds, provide the type of fund (IRA, CRA...), amount, and when the funds were awarded.

Please list positive outcomes from previous JCRC funding.

Graduate Student Information

Name (Last, First)*

Phonetic Pronunciation of name

Student K-State Email*

Student Permanent Email*

Gmail, Yahoo, Apple, etc.

Student Cell Number*

Student Address (Street Address, City, State, Zip Code)*

WID Number*

Master's or PhD Program*

MS Program

PhD Program

Program Start (Term, Year)*

Graduate Program (Home Department)*

CANCER RESEARCH AWARD Submission Information

Title of the Students Graduate Project (in Cancer Related Terms)*

Type of Cancer*

To select multiple options press CTRL + click for PC or Command (⌘) + click for Mac

If "Other" selected above, provide more details here

MENTOR & STUDENT - Short Answer Responses

Below are two separate sections, one the mentor needs to provide details on and the other by the student.

STUDENT: Provide an abstract, which promotes the CANCER RELEVANCE, in 50-words or less. To be written in lay language. Some donors select awards, and if they do not understand the abstract, it will not be selected.*

STUDENT: How will your future career plans impact cancer research? *

STUDENT: Describe the importance of participating in a research project at this stage in your education and how it will aid with your goal above.*

STUDENT: Please provide a list of your most important awards, honors, scholarships, or activities. (Limit of 7)*

State NONE, if you do not have any.

STUDENT: Provide ALL scholarships (both academic and research) you currently have.*

State NONE, if you do not have any.

STUDENT: Are you currently working outside of being a GTA or GRA?*

MENTOR: Give specific details on the student's project: Questions, methodology, and expected outcomes.*

MENTOR: If the student being nominated has already been awarded a Graduate-CRA, explain how this additional opportunity will contribute to their educational experience. Provide outcomes from the previous CRA (this is required).

MENTOR: If awarded, the JCRC will provide funds to match what GRAs in your department are paid. Provide your college financial officer contact information below so we can reach out to them (Name, email address, phone number if available*

Some departments have their own accountants, you can provide their information.

MENTOR: Does the student need to be enrolled in credit hours for the summer? Asking as additional funds might be available to support this. Include the minimum number of credit hours needed.*

FILE UPLOAD

Please, upload as a single PDF the following components (in this order). All documents should be in 12 pt ARIEL font and 1 inch margins. The file should be titled "PI Last Name-Student Last Name-Year". Applications not meeting these requirements will not be reviewed. File size is capped at 2000 KB.

Mentors, please provide the following information within a single PDF. Each of the categories below should be on their own page.

Project Description (Limit of 1 page): This should include a hypothesis, methods, and expected outcomes. Reference are not apart of the page limit.

Publications from the last three-years: List of all publications from the last three years that acknowledge JCRC funding. Do not submit the actual publications, just provide links to the articles. If JCRC acknowledgment is not present in the publication, this will count against your application.

Past Graduate-CRA Information (no page limit): Outcome of awardees trained in the last three-years. List their project title, presentations, papers, and where they are now.

Student Transcripts: Unoffical transcripts are acceptable.

Project Impact on Cancer Patients: Provide a 100 word description of how your project will help cancer patients in the future. (The PI and Student should work on this together).

*Submit your prepared single PDF for the Grad CRA application

RESUME/CV/BIOSKETCH FILE UPLOAD

Please, upload as a single PDF the following components (in this order). All documents should be in 12 pt ARIEL font and 1 inch margins. The file should be titled "PI Last Name-Student Last Name-Year CV-Biosketch". Applications not meeting these requirements will not be reviewed. File size is capped at 2000 KB.

Mentors, please provide the following infomration within a single PDF. There is no page limit, but a file size limit is enforced.

CV, Resume, or NIH Biosketches: Provide in a single PDF both the MENTOR and STUDENTS CV/Resume/or NIH Biosketch.

*Submit your prepared single PDF for CV/Resume/or Biosketches