Sponsorship Application Instructions and Information: Modification Form

Sponsorship Application Instructions and Information:
Modification Form
The Modification Application Form is used to request adjustments to an existing award if your
travel or research plans have changed and you would like to request that your award be applied
to a different scholarly activity. The new activity should occur during the same cycle for which
the original sponsorship funding was awarded
I.
Student Eligibility
Only complete application packets where applicants meet the following criteria will be
considered for Sponsorship funding:

Only officially admitted UNLV graduate and professional students who currently
enrolled are in a recognized graduate degree or professional program may apply for
sponsorship funding.
o Funding may not be awarded to UNLV graduate and professional students who
will have graduated prior to the start of the semester for which funding is awarded
(e.g., a student may not apply for Emergency Cycle funding for an event that
occurs during winter intersession if s/he graduates in the previous Fall semester).

Each applicant must conduct his/her project with a graduate faculty member.

Only activities that make a contribution to the applicant’s field as well as directly affect
their degree program are eligible for funding

Students who have received GPSA sponsorship money and have since had the
opportunity to present at the annual GPSA Student Research Forum but have not yet done
so are not eligible for additional GSPA sponsorship funding.
o After a student presents at the GPSA Student Research Forum, they once again
become eligible for GPSA sponsorship funding.
Applications may not be submitted more than once for the same activity regardless of whether
funding for that activity was granted or denied in a previous cycle
II. Fraudulent Documentation Submission
All applications must be the original work of the applicant. Repeat or duplicate applications, and
applications with sections duplicated from any other application will not be considered for
sponsorship funding (even where individuals in a group are applying separately for their part in
the same activity). The presentation of false or otherwise incorrect information will lead to
Modification 1
immediate disqualification of the application, suspension of an further GPSA funding, a freeze
on any existing GPSA funds account, the immediate repayment of any funds utilized toward the
above mentioned research project, and the student will be referred to the Office of Student
Conduct for further consideration.
III. Funding Limitations and non‐covered items







No applicant may obtain more than two (2) GPSA sponsorship awards per academic year.
No more than one emergency sponsorship application will be awarded per year.
Only one application per applicant may be submitted for each sponsorship cycle (Fall,
Spring, and Summer).
Each application may request funding for a single activity, project, or event.
No individual shall receive more than one thousand two hundred and fifty ($1250.00)
dollars per academic year.
Any items that have been purchased prior to the starting date of the sponsorship award
are not reimbursable.
Salaries, wages, honorarium, tuition, service and/or volunteer compensations, routine
supplies, and thesis/dissertation copies are not permissible and, therefore, are considered
non‐covered items.
IV. Required Application Items
All sections of the application cover sheet must be filled out completely and all required items
must be included in the application packet. Applications missing any component are considered
incomplete and therefore will not be considered for sponsorship funding.
Section 1: Cover Sheet
The cover page must be signed, dated, and all sections completely filled in. The cover sheet is an
interactive PDF and all information should be typed onto the page and not handwritten.
Section 2: Explanation of Activities for New Activity (1 page maximum)
This section should briefly explain why you no longer wish to utilize the sponsorship award for
the activity for which funding was originally approved. It should also include a thorough
explanation of the new activity to which you wish to apply your awarded funding.
Section 3: Letter of Recommendation
One letter of recommendation is required from a member of the student’s committee, preferably
the committee chair in support of the new activity being requested.
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Section 4: Itemized Budget for New Activity
This budget should reflect the costs of engaging the new activity and note any differences
between the amount requested here and the original award amount.
Section 5: Approval Form(s)/Acceptance Letter for New Activity (if applicable)
Conference/Event Travel Acceptance Letter:

For individuals applying for conference/event presentation, include a copy of your
presentation acceptance letter. Applicants that have not yet received notification of
acceptance may be provisionally awarded monies provided they submit proof of
acceptance prior to the release of funds.
Research Activities Approval Form(s):

Where applicable for individuals applying for research funding, animal use or human
subject approval forms shall be submitted when required for the applicant’s project.
Check with your department chair or the UNLV Office of Sponsored Programs for
further information: http://www.unlv.edu/Research/OPRS/
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Itemized Budget
Dissertation Travel for Data Collection
Travel Item
Description*
Unit Cost
For 1 adult ticket
($42.80 in fees
and taxes)
$58.32 avg. daily
cost (7.63 in daily
fees and taxes – 3
night stay)
Airfare
Airline fees and
taxes¹ (Delta)
Lodging
Hotel fees and
taxes² (Red Roof
Inn)
Transportation
Car rental fees and
taxes³ (Enterprise
Economy Car)
$30.06 average
daily cost ($22.11
in daily fees and
taxes – 3 day
rental)
Parking⁴
Food and Gas⁵
$12.00 / day
$56.00 / day
Per diem
Total Cost
Amount
Requested from
GPSA
$312.80
$312.80
$197.86
$197.86
$112.29
$112.29
$ 36.00
$168.00
$36.00
$ 0.00
Total requested from GPSA
Total amount to be paid by student
Total projected costs
$658.95
$168.00
$826.95
*Explanation of Costs
¹ Delta airlines was selected because it the least expensive carrier that arrived and departed at the necessary
times. I have selected a red-eye flight into Madison, WI in order to arrive on campus in time for my classroom
th
th
observations on Thursday, October 27 . I will be leaving Madison on Sunday, October 30 in order to
accommodate additional interviews within my travel schedule.
² The Red Roof Inn was chosen as it is the least expensive hotel in the near vicinity of the UW Madison campus.
There are less expensive options; however they are only slightly less expensive and significantly further away from
campus.
³ I chose to rent an economy car in order to travel between the airport, hotel, and the UW Madison campus. I have
assessed taxi transportation to and from the airport and between the hotel and campus and determined that it
was less expensive to rent a car and park rather than pay for a taxi service for the duration of my travels. No
shuttle service was offered at the Red Roof Inn, nor at any of the hotels in the area.
⁴ Parking fees for on campus parking are accessed daily. As I will be on campus from mid-morning to medafternoon, all-day parking was selected as the less expensive parking option.
⁵ Per diem costs were identified by the USGSA at $56.00 / day for Madison, WI (see Appendix). Please note, this
cost has not been requested as part of this application for GPSA funding. Discretionary spending will be provided
at the student’s expense.
Sponsorship Application Modification Checklist
Modifications should be submitted during the same cycle for which original funding was awarded.
All information provided within the application will refer to the new activity unless otherwise
noted. The following sections are REQUIRED unless otherwise stated. Applications missing any
components are considered incomplete and therefore ineligible for sponsorship funding.
□
Cover Sheet
o
o
All sections complete
Signed and dated
□ Explanation of Modification Request
o
o
□
Describes why original award will no longer be used toward the approved activity
Explains why the new activity is a reasonable replacement for original activity
Explanation of New CONFERENCE TRAVEL Activities (1 page maximum)
o
o
o
o
o
Concise summary of the research being presented including methodology and findings
Identified the applicant’s role in the research and presentation
Significance of research being presented to field of study, UNLV, and community
Explanation of why the project should be funded by the GPSA
Planned activities at conference
Statement of intended use of funds
□ Dated copy of your presentation acceptance letter (if applicable)
OR
□
Explanation of New RESEARCH TRAVEL Activities (1 page maximum)
o Concise project summary identifying the project goals and applicant’s role in the project
o Methodology and expected results
o Significance to field of study, UNLV, and community
o Explanation of why the project should be funded by the GPSA
o Timetable from initiation to completion of project
o Statement of intended use of funds
□ IRB / IBC / IACUC approval form(s) (if applicable)
□ Itemized Budget for New Proposed Activity
o
o
o
o
Itemized and organized
Detailed
Justified
Supporting documentation and cost comparisons provided for each item
Modification
Modification of Sponsorship Application Cover Sheet
Applications missing any component are considered incomplete and therefore will not be considered for sponsorship funding.
Applicant Information
Name: ___________________________________
NSHE ID: _________________________________________
RebelMail*:
Department/School: __________________________________
@unlv.nevada.edu
*Note: Per UNLV policy, all correspondence must be sent to your RebelMail account, therefore we are unable to accept
applications that do not include a valid RebelMail address.
Degree(s) Sought:
Masters
Term Admitted to Program:
PhD
JD
Fall 20______
05
DDS
PhD / Masters Streamline Program
Anticipated Graduation Term:
Fall 20______
Spring 20______
Spring 20______
Summer 20______
Summer 20______
Advisor(s) Name(s): _______________________________________________________________________________
Application Details
Modifications should be submitted in the same cycle for which the original application was funded. Fall Cycle considers activities
occurring during fall semester. Spring Cycle considers travel occurring during winter intersession and spring semester. Summer
Cycle considers travel occurring after spring semester, but before the start of fall semester.
Original Application:
Fall
New Activity Type: Conference
Presenting:
Yes
Spring
Performance
No
Summer
Competition
N/A
Research / Research Travel
Amount Requested: $ __________
No Change from Original Funded Amount
New Activity Title: ______________________________________________________________________________
New Activity Start and End Dates: ______ / ______ / ______ to ______ / ______ / ______
Jan.
Jan.
Is this new activity part of your thesis, dissertation, or culminating project?
Yes
No
Funding Question
Have you received funding for this project from any other source(s)?
Yes
No
Source(s): ____________________________________________________________
Have you or do you plan to apply for funding for this project from any other source(s)?
Source(s): ____________________________________________________________
Amount: $___________
Yes
No
Amount: $___________
I attest that all of the above information is true and complete, and that I will be enrolled in my degree program and will not have
graduated during the semester for which I am applying to receive funding for the above mentioned research project. I understand
that the Sponsorship Committee may investigate any of the materials or statements presented in this application package, and that
the presentation of false information will lead to immediate disqualification of the application, suspension of an further GPSA
funding, a freeze on any existing GPSA funds account, and the immediate repayment of any funds utilized toward the above
mentioned research project.
Signature: ________________________________________________________
Date: _______/ ______ / _______
Jan.