Order Number Principal Researcher Title * Choose One Mr. Ms. Mrs. Prof. Dr. Principal Researcher First Name * Principal Researcher Last Name * Street Address 1 * Street Address 2 * City * State * Zip * Institution * Email Address * Work Phone Number * Home or Mobile Phone Number * Include here the name(s), title(s), and institution(s) of any additional researchers. * Are you an ACES Member? * Yes No If yes, indicate the category. * Student Regular Other If yes, indicate which Region. * NARACES NCACES RMACES SACES WACES Is this proposal your only submission for this grant? * Yes No Is this project fully or substantially supported by another funding source? * Yes No If yes, please indicate the source. If yes, please indicate the amount. I am willing to include an acknowledgement of ACES financial support of the project in all reports, presentations, or publications related to the supported project. * Yes No I am willing to complete one of the following by October 30th of the year subsequent to receiving the grant award. * Yes No Provide a copy of the proposal to present the research results as a poster session at the ACA World Conference or ACES National or Regional Conference. * Yes No Provide a copy of the proposal to present the the research results as an education session at the ACA World Conference or ACES National or Regional Conference. * Yes No Provide a copy of the manuscript of the research results that has been submitted to a refereed journal for publication consideration. * Yes No Provide to the Research Grant Committee Chair a copy of the manuscript of the results that has been submitted to a refereed journal for publication consideration. Yes No Share this:TwitterFacebookLike this:Like Loading...
