research_application

*Date

*Name

*Email

*Major

*Planned Graduation Date

*Plans After Graduation

Science Classes Completed

(Example: Chem 101 - B+)

*General Chemistry Professor(s)

Do you have experience in other labs?

Yes

No

If yes, please elaborate

How many hours are you willing to commit to work in a lab?

15-20 hours

10-15 hours

5-10

Less than 5 hours

Can you commit at least two semesters to a lab?

Yes

No

Is your ultimate goal to qualify for Chem 4800?

Yes

No

*The most important part is:

Undergraduate Research Application