research_application

*Date

*Name

*Email

*Major

*Planned Graduation Date

*Plans After Graduation

Science Classes Completed

*General Chemistry Professor(s)

Do you have lab experience other than class labs

Yes

No

If yes, please elaborate

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

10-15 Hours

15-20 Hours

5-10 Hours

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