CURA Community-Based Research Programs

CURA Community-Based Research Programs Application Form

NOTE: This form serves the Nelson Program and the Community Assistantship Program (CAP). See the CBR Application Guide on details of how to fill out the application.

Type answers to the following questions on this form. We prefer applications to be no more than five pages long (not including cover) and to be submitted as an e-mail attachment.

Organization Name:

Street Address:

City: State: Zip:

Main Phone:

Which of the following best describes your organization:

__ Neighborhood organization __ Nonprofit organization __ Government agency __ Other (please specify) ______

What other CURA programs is the organization connected to?

__ Neighborhoods Now __ Community Geographic Information Systems (CGIS) __ Neighborhood Partnership Initiative (NPI) or Artist Neighborhood Partnership Initiative (ANPI) __ Community Visualization __ Resilient Communities Partnership __Hennepin University Partnership __ Other (please specify)

Primary Contact Person:

Phone: E-mail:

Project Supervisor (person who will directly supervise the student):

Phone: E-mail:

1 Provide the following information in your application. Please do not exceed 5 pages, not including the cover page.

1. Mission or purpose of your organization.

2. Title of the project.

3. In 50 words or less describe the research project.

4. Briefly describe your project, including information about:

a. What issue/challenge/opportunity the project is centered on.

b. What are the goals and outcomes of the project?

c. How will the research support your efforts?

d. Key people who will be involved and their backgrounds and roles in the research project.

e. Any partnerships involved in this project.

5. Tell us more about the research project itself:

a. What do you want to know/What is your specific research question(s)?

b. What information/data will you need to address the research question(s)?

c. Does the information/data already exist? If yes, where?

d. What format is the information/data in and do you have access to it?

e. What is the final research product you desire (written report, slides, etc.)

f. How will you use the final product to achieve your desired impact?

6. Who benefits and how from this project?

2 7. Duties and Responsibilities. You will have a limited amount of time to complete the project: 195 student hours in the spring and fall semesters, and 260 hours over the summer.

a) Task list. What 4-7 separate tasks will need to be completed to yield the final product you want? 1. 2. 3. 4.

b) Task Assignment. For each task, what duties and responsibilities do you expect the student to complete? What will be completed by the supervisor? 1. 2. 3. 4.

c) What specific skills, experience, and qualifications will be required of the student research assistant?

8. Organizational Support

a) What material support (e.g. desk, telephone, access to a computer, access to a copy machine, etc.) can your organization provide for the research assistant?

b) What financial support (i.e., contributions toward the cost of student wages, funds for travel or other expenses, etc.) can your organization provide for this project?

c) What additional support will be required for this project that your organization cannot provide, and how might it be obtained?

Submit applications as an e-mail attachment to: [email protected]

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