Undergraduate Research Scholars Program: Faculty Application

Directions: Fill out the information below. Applications are accepted on a rolling basis. Please note that if your application is accepted, the information provided will be used to solicit candidates for your position.

Term applying for: *

	Fall	Spring	Summer
Term applying for

Contact Information

Name: *

Department: *

Mailing Address: *

E-mail Address: *

Phone Number: *

Research Project Details

Nature of Reseach: *

Student Responsibilities: *

Prerequisites:

Hours per Week: *

Total Number of Weeks: *

Total Award Amount Requested: *

Agreement of Terms

I agree to the participation terms of the Undergraduate Research Scholars Program: *

	yes	no
Agree

I cannot meet these requirements because: