Southern Equality Research Grant Application SERPC Grant Form Warning: Application can not be saved if you close this page Name(Required) First Last Email(Required) Phone(Required) Which of the following best describes your racial identity? (Select all that apply)(Required) Black or African American Native American or Alaska Native Middle Eastern or North African Asian or Pacific Islander White or Caucasian Multiracial Prefer to self-describe Self described racial identity Are you Hispanic or Latino/a/x/e?(Required) Yes No Which of the following best describes your gender identity? (Select all that apply)(Required) Man Woman Nonbinary/Nonconforming Agender Gender queer Gender fluid Two-spirit Prefer not to say Prefer to self describe Self described gender identity Are you transgender?(Required) Yes, I am transgender No, I am cisgender No, I prefer to self-describe I'm not sure Prefer not to say Centered Bold Text Educational and Professional Background Are you currently enrolled in a college, university, or similar institution offering postsecondary level academic instruction?(Required) Yes No Are you currently an early career researcher? Yes No Which of the following best describes your current role? Postdoctoral scholar Assistant Professor Adjunct Professor Visiting Professor Instructor/Lecturer What degree or level of education are you currently pursuing? Bachelor's Degree (BA, BS, BBA) Master's Degree (MA, MS, MPH, MSW, MPP) Doctorate Degree (PhD, EdD, DrPH) What is your current classification? Freshman Sophomore Junior Senior Cumulative Grade Point Average (GPA) Academic Institution(Required) Academic Department or Program(Required) Centered Bold Text Research Interests and Experience Please describe your interest in conducting research that promotes an increased understanding of LGBTQ life in the South.(Required) Please describe how the Southern Equality Grant would support your efforts in investigating the experiences of LGBTQ people in the South to inform policy and practice.(Required) Please provide your current resume or curriculum highlighting relevant experience and qualifications including employment history, unpaid work, internships/fellowships, presentations, and publications.(Required)Accepted file types: pdf, doc, docx, Max. file size: 10 MB. Centered Bold Text Project Narrative Please provide a narrative of 500-1000 words that includes your research questions, methodology, expected outcomes, and contribution within your field and society more broadly.(Required)Accepted file types: pdf, doc, docx, Max. file size: 10 MB. Centered Bold Text Budget and Budget Justification Please provide an itemized budget (using the Budget Template) that details the amount of funding you are requesting to support the proposed project.(Required)Accepted file types: xlsx, xls, Max. file size: 10 MB. Download Budget Template Click to download the Budget Template and upload as a Microsoft Excel file (.xls or .xlsx). Please provide budget justification (using the Budget Justification Template) to explain what various categories of funds listed in the budget will be used for and the need for the funds to support the proposed project.Accepted file types: pdf, doc, docx, Max. file size: 10 MB. Download Budget Justification Form Template Click to download the Budget Justification Form Template and upload as either Word Document (.doc or .docx) or PDF (.pdf). Centered Bold Text Supporting Documents Please provide a copy of an official letter demonstrating your project has been reviewed and approved by the IRB at your home institution, or has received an exempt determination, prior to beginning the research.(Required)Accepted file types: pdf, doc, docx, Max. file size: 10 MB. If you are an applicant who is requesting funds to support your attendance at a professional conference, please provide a copy of an official letter indicating your abstract has been accepted for presentation at the conference.Accepted file types: pdf, doc, docx, Max. file size: 10 MB. If you are an undergraduate applicant, please provide one letter of support from a faculty member that includes a description of your capacity to conduct the proposed research and the faculty member's contribution to the research.Accepted file types: pdf, doc, docx, Max. file size: 10 MB.CAPTCHA
