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MAPR Thesis Supplement Form

Name: *

Texas State ID#: (Ex. A01234567) *

Texas State Email: *

Thesis Title: *

Do you have a Graduate College Thesis Supplement Fellowship notification? *

Yes
No

Please upload a copy of the Graduate College Thesis Supplement Fellowship notification. (Email sent by the Graduate College to student)

IRB #: *

Amount Requested: *

Justification: (please specify how the supplement will be used and provide a short justification for the amount requested) *

If you are requesting an item (e.g., book, scale, supplies, or equipment), please include an itemized list (with links) of items requested for purchase:

**If the funds requested are intended for participant payment, please attach correspondence indicating the consent of your supervisor to act as the account manager of the award. Faculty supervisors will ultimately be responsible for disbursement and reconciliation of these funds.**

Attach correspondence here.

Attach additional correspondence here.

Along with email proof of supervisor consent uploaded (if applicable), completed the proposals will be evaluated by the graduate Committee, who will make recommendations re: the appropriation of funds for final approval by the Department Chair. Applications will be processed within three weeks of receipt.

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