Bingham Innovation Fund Application

Bingham Innovation Fund Application

Full Name*

Stanford E-mail*

Stanford University Identification (SUID) number*

Intended Year of Graduation*

ASSU Student Group Name (if applicable)

Project Details

Project Title*

Upload completed "Bingham Project Description & Budget" form.*

File is found here: https://drive.google.com/file/d/1TRKtmnqQz8U7Xmu20vK4m9Ap2ygbmLvB/view

Name the file Bingham_LASTNAME_FIRSTNAME.pdf

Drag and drop files here or

Anticipated Start Date*

Anticipated End Date*

Will your project include Human Subjects?*

Yes

Does your proposal involve participation of children under the age of 18?

Yes

Stanford University has established for Protection of Minors requirements and trainings needed to proceed. Please review https://cardinalatwork.stanford.edu/working-stanford/policies/protection-minors

I understand that the project if accepted will need to file all necessary paperwork and complete all mandatory training/requirements prior to commencing.

Do you hold a current Live Scan?

Yes

Dates for valid Live Scan:

Are you planning to use your project to apply for the Human Biology Synthesis?*

Yes

Maybe - I haven't decided yet

Amount of funding requested.

The Bingham Foundation has generously provided funds (in the range of $100-$3000/project) to support student projects intended to benefit undergraduate education.

Faculty Reference

Provide the contact information of one reference. Please ensure that you have discussed your project with the faculty whom you are listing so that they are familiar enough to comment on its novelty, feasibility, and probable success. This person will be sent an email automatically upon your submission requesting confirmation of your relationship and confidence in this project. It is recommended that you alert your reference of the incoming request before submitting this application.

Name of Reference*

E-mail*

If possible, Stanford e-mail is preferred.

Send me a copy of my responses

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