All deadlines for the SOMAS Program grant application are December 1, 2011.

This cover page as well as the demographic survey must be printed, completed, and mailed to the SOMAS Office no later than December 1, 2011. Application cover pages postmarked after December 1, 2011 will not be accepted. On-line submission of the body of the grant application must be completed by December 1, 2011.

Download Application Cover Page (PDF)

Online Submissions > Applicant Information

Faculty Mentor
Last Name:
First Name:
Email:
Phone:
Fax:
Institution:
Mailing Address:
City:
State:	- Select State - AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AA AE AP AS FM GU MH MP PR VI
Zip:
Primary Specialization:	- Select Specialization - Cellular/Molecular Neuroscience Behavioral Neuroscience Neurophysiology Cognitive Neuroscience Other neuroscience specialization
Describe Specialization: (If needed)
Institution's financial officer responsible for grant administration
Last Name:
First Name:
Email:
Phone:
Fax:
Undergraduate Research Program Information
Does your school have a funded summer undergraduate research program that you have access to?	Yes    No
If yes, identify the source of the funding from extramural agencies (e.g., HHMI, NSF, NIH) If yes, what is the amount of the student stipend?
Does your college offer a housing allowance?	Yes    No
Does your institution provide support for travel to professional meetings?	Yes    No
If yes, what is the amount?
Does your institution provide travel support for students?	Yes    No
If yes, what is the amount?
Select the statement that best characterizes your status:	- Select Statement - New faculty (<5 years) beginning research program involving undergraduates Untenured faculty with current (within past 3 years) funding None of the above. Explain in box below.
Status Notes: (If needed)