邢唷> NPM欹徝 bjbj 盕昦昦4hPl.,f  "(Rh`oc睏KjiJ<  @    z:   Organization of Psychology Students Research Reimbursement Request FormYou may be reimbursed up to $300 for items that are research related, including for your Research Project I, Research Project II, pre-doctoral dissertation, or dissertation project. Each doctoral student can be reimbursed up to five times during their graduate career and each masters level student can be reimbursed up to two times during their graduate career (reflecting one possible reimbursement per year). These can be accumulated over time (i.e. if you do not use a reimbursement in your first year, you still have five left).Reimbursement Request Deadlines: Fall Semester December 22nd Spring Semester May 15th *Applications received after the stated deadlines date will not be eligible. Reimbursement Request Forms received after the stated deadlines will not be eligible, and must be submitted the following semester. In the event that reimbursement requests exceed available funds, reimbursements will be determined by lottery. Reimbursements will be mailed to you after the end of each semester. OPS makes no judgment as to the quality or subject matter of projects. Reimbursements are granted based upon timely receipt of a completed application.To request reimbursement, please email  HYPERLINK "mailto:opsreimbursements@gmail.com" opsreimbursements@gmail.com with electronic copies of the completed and signed Application (Information Form and Expense Form) together with the additional documentation listed on the Information Form (see below). Eligible Expenses: Reimbursements will only be granted for those expenses incurred by the student, which have no value that survives the research project. Examples of eligible expenses that will be approved: mailing, participant reimbursement, and photocopying. Examples of ineligible expenses which will not be approved: WAIS kit or medical monitoring equipment. Please type or print neatly - illegible applications will not be considered Date Received: _________________________ OPS Representative: _________________________OPS RESEARCH AWARD APPLICATION Information FormName: _______________________________________________________Local Address: ___________________________________________________________Permanent Address: _______________________________________________________Telephone: ____________________________ Cell Phone: ____________________________E-mail Address: _____________________________________________________________Program: _________________________________________________________Class of: 20 ________Professor: ____________________________________________________Title of Project: _____________________________________________________________Please include the following:Completed and signed Information Form A one-page description of the project Proof of IRB approval or equivalent Completed Expense Form signed and dated by student applicant and professor together with copies (do not include originals) of the receipts for the items listed in the form.I agree to provide OPS with a copy of all completed portions of my research project I, research project II, or dissertation. OPS has the right to reproduce my work on its website or other medium for inclusion in its 揝ponsored Projects section or for archival and promotional purposes so long as same are not for any commercial gain.I have read the foregoing application and attachments and affirm that all statements are true.____________________________ _______ ____________________________ ______ Student Signature Date Professor Signature DatePrint Name: __________________________ Print Name: _________________________ OPS RESEARCH AWARD APPLICATION Expense FormName: _______________________________________________________Local Address: ___________________________________________________________Telephone: ____________________________ Cell Phone: ____________________________ Title of Project: ________________________________________________________ Item Purpose for Expense Cost For Official Approved Use Only Not Approved 1. 2. 3. 4. 5. 6. ____________________________ _______ ____________________________ ______ Student Signature Date Professor Signature DatePrint Name: __________________________ Print Name:__________________________ Updated 2018#%HIJfjk} _ ` a 蹶蹶蹶嶂饲没敲访访敲敲浅殦巹帤脦z巗is胹h1wh,|6乚 h1wh,|hc.]h,|5丠*h遌h,|5丠* h,|5 hh,|hh,|5hh,|5>* h,|5>*hbdh遌h,|h,|5h,|hmh,|hmCJ,aJ,h,|h,|CJ,aJ,hhmCJ0hhmCJ0aJ(hhmCJ0aJ2)%IJ` a €gd遌 `刾剱鱚刾`剱鱣dm 刾剱鱚刾`剱鱣dm `gdbd `gd,| `刾剱鱚刾`剱鱣d,|gdm$a$gdm  # R U E F 7 8 S T Z s $&4tu€聃轷狁抑室柿室纸纸纸副┍证竹竹竹竹竹竹謾h遌56丆J\乚乤Jhm6丆J]乤J hm>*h,|hm5 h1whm h遌5hh>kh遌0Jjh遌Uh遌hm h1whbdh4RDh,|5h77h,|5h,| h77h,|hbd5%&DEUVWc)1<H蝾嘁嗝殿杯杯杯杯杯雹冶枎眹眹{{{{顆眥hvih爈jh爈U hm6乚hhm5hhm5丆JaJhm6丆J]乤Jhhmhh遌5丆J]乤Jhh5丆J\乚乤Jhm56丆J\乚乤Jh遌56丆J\乚乤Jh遌h遌h遌6丆J]乤J*%&EVW-.€ `勑0齘勑`0齡dmgdm$a$gd$a$gd遌gd遌:勄凬9 &$d%d&d'd+D-D.勷M NOPQgd遌)*jk'bK `E苺躍)gdmK `E苺躍)gdmgdm 'KIJgbbbbbbbgdmK `E苺躍)gdmK `E苺躍)gdm PQ  XY :$Ifgdm d$Ifgdm `勑0齘勑`0齡dm Hgdmgdm `gdm `劙凱靆劙`凱靏dm()23IJK`~kd$$If杧謗$ 84 xax $Ifgdm d$Ifgdm :$Ifgdm KNOPQRSTUVWXY d$Ifgdm :$Ifgdm $Ifgdm YZ[^_`PD;;; $Ifgdm d$Ifgdmkd$$If杧謗$ 8 (览4 xaxp(览`abcdefghi d$Ifgdm :$Ifgdm ijknopPD;;; $Ifgdm d$Ifgdmkd$$If杧謗$ 8 (览4 xaxp(览pqrstuvwxy d$Ifgdm :$Ifgdm yz{~€PD;;; $Ifgdm d$Ifgdmkd$$If杧謗$ 8 (览4 xaxp(览€ d$Ifgdm :$Ifgdm PD;;; $Ifgdm d$Ifgdmkdw$$If杧謗$ 8 (览4 xaxp(览 d$Ifgdm :$Ifgdm PD;;; $Ifgdm d$Ifgdmkdm$$If杧謗$ 8 (览4 xaxp(览 d$Ifgdm :$Ifgdm PPKK:1 `gdm `劙凱靆劙`凱靏dmgdmkdc$$If杧謗$ 8 (览4 xaxp(览PQ `劙凱靆劙`凱靏dmgdm;0P:pm靶/ 班=!梆"梆#悹$悹%盃盃 愋Dp50P靶/ 班=!盃"盃#愋$悹%靶盃 愋Dp;0P:pm靶/ 班=!盃"盃#恦$惵%皏奥 愋Dp$$If杧!vh#v#v #v8#v#v:V 杧55 5855/ 44 xax$$If杧!vh#v#v #v8#v#v:V 杧 (览55 5855/ 44 xaxp(览$$If杧!vh#v#v #v8#v#v:V 杧 (览55 5855/ 44 xaxp(览$$If杧!vh#v#v #v8#v#v:V 杧 (览55 5855/ 44 xaxp(览$$If杧!vh#v#v #v8#v#v:V 杧 (览55 5855/ 44 xaxp(览$$If杧!vh#v#v #v8#v#v:V 杧 (览55 5855/ 44 xaxp(览$$If杧!vh#v#v #v8#v#v:V 杧 (览55 5855/ 44 xaxp(览6666666662 0@P`p€2( 0@P`p€ 0@P`p€ 0@P`p€ 0@P`p€ 0@P`p€ 0@P`p€8XV~_HmH nH sH tH L`L nuNormal1$7$8$H$CJ_HaJmH sH tH DA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List D﨩D nuLevel 1 & F勑0鼲&^勑`0H橜H ?F Balloon TextCJOJQJ^JaJ4@4 琕Header  !4 "4 琕Footer  !6U`16 遌 Hyperlink >*B*phcPK!涜pO[Content_Types].xml瑧薺0E鲄卸豶(ヘ微廬嬼yl嬝#!MB蝼;.卬姨谨台\艫1&绌耀夹 生芉W橄蚄v疷bOX#&疆释1`RⅵT闉9<搇#ぼ$┐>幚r崫 `沸」-;c=1g~'縸xP咓iB$篒O1脢k9報I鬰L涢H隮<;*v7'榓瓻\h>嗟=青^,*彿阗8q€;湷^*4髑槿?Wq{n阍塷g淎撙>曧8f2*<")QH裤麆xK┟ 梶ㄐ]奪榸)橛亾MS欯\&>!7;wP3熥[淅EBU`1綩楥5VD翕 豖靉?p墾勠 S喧4坻曐[驨S叫28;嶻慵[戢櫌,荇撘骉1|筅n;+衡/蕰j蟎阉\,E:!莒 宼4.T獭 e1 謢; [鄗^鵳縧銨ok侮0e g@礕GHPXNT,賲禿诧e鮸楸*YdT臷橸鋩熬顏+(員7$ow2茜紓#紾┲浻墒ビ掷?絨迸 N澵K椟-/M,W鏖阦鍗x盕V/Q吴范朞鯕&渆刀c蛒几\Q滜她LW@H!+魝阽{衃|{包!汝K韩Ai `遚m2iU栚|纾Y+ 蕤栿 [[v杧煋靣錘缭釫挐3靝m擎R =Y04,!&0+W魿軆@o習樫OS2'S佼05嘌$嗓]pm珠3孎瞭 崕婓G蓜-!鹹へ"訅V . 甡幾,O.%烫胁Kas楁S球骗弙€稭謟瓔玚姤叢3铵蘽9+e鰻@e觇諗錖y硥7啠W萧_Xtl斴PK! 褠煻'theme/theme/_rels/themeManager.xml.rels剰M 0匃倃oo雍&輬协勪5 6?$Q祉 ,.嘺緳i粭澤c21h:闀q毩m胳嶡RN壻;d癭値o7g慘(M&$R(.1榬'J摐袏T鶂8V"&A然蠬鱱}狇|$絙{朠除8塯/]As賲(⑵锑#洩L蔥汉倪PK-!涜pO[Content_Types].xmlPK-!ブх6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!!Z!theme/theme/theme1.xmlPK-! 褠煻'( theme/theme/_rels/themeManager.xml.relsPK]# F=FtF   'KY`ipy€P !"7SX€8@€€€饞0(   養 S  ?EFR:::))))))))隺€0)貢A1)X﹐€2)鴁`€3)構@4)楰n€5)h疅|6)鑐L7) AutoList2  bdvi6:q,|]v爈遌m@€刓|x@UnknowncbeguestG*郃x Times New Roman5€Symbol3 *郈x Arial5 *醄`)TahomaA$BCambria Math"餈hm擩Ga  x倐2483僎哌HP ?W%2 $Organization of Psychology Students Preferred CustomerCaitlin Sleight  鄥燆鵒h珣+'迟0 4@ d p |'(Organization of Psychology Students Preferred Customer Normal.dotmCaitlin Sleight4Microsoft Macintosh Word@F#@V%鄨)@`睏 胀諟.摋+,D胀諟.摋+,h$ hp  'Dell Computer Corporation  %Organization of Psychology Students Title 8@ _PID_HLINKS'A€@d#mailto:opsreimbursements@gmail.com  !"#%&'()*+-./0123456789:;<>?@ABCDFGHIJKLORoot Entry F蕃c睏Q€Data $1Table,* WordDocument盕SummaryInformation(=DocumentSummaryInformation8ECompObj` F Microsoft Word 97-2004 DocumentNB6WWord.Document.8