Student Research Award Application

Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email Address*
Telephone Number*
Are you a current member of IACFP?*
- Yes
- No
Are you a currently a Full-Time Student (as defined by your institution)?*
- Yes
- No
School*
Current Program of Study*
- Honors
- Masters
- Doctorate
Subject Area (e.g., Psychology, Criminal Justice, etc)*
Are you the Primary (First) Author on the Research?*
- Yes
- No
Associated Researchers (list all individuals who are part of the research team such as your supervisor, etc)*
Title of Research*
Research Summary (maximum 500 words)*
How does the presentation reflect the vision, goals, and areas of prioritization of IACFP (see a description of the IACFP Vision and Goals and areas of prioritization included above)? (maximum of 250 words)*
When do you expect to complete your research?*
MM slash DD slash YYYY
Has your research been approved by an Institutional Research Ethics Board?*
- No
- Yes (please attach a copy of the approval letter)
Copy of the approval letter*
Max. file size: 2 GB.