MONTANA TECH UNDERGRADUATE RESEARCH PROGRAM
Proposal Cover Sheet: 2019-2020 URP/PHI Projects
Revised: 2/14/2019 Montana Technological University Page 1 of 2
LAST NAME:
FIRST NAME:
MI:
STUDENT ID:
CLASS LEVEL:
FR SO JR SR
MAJOR:
EXPECTED GRADUATION DATE:
EMAIL:
CURRENT ADDRESS:
PERMANENT ADDRESS (if different):
CITY, STATE, ZIP:
CITY, STATE, ZIP:
PROPOSAL TYPE: Research Public Health Internship
PROJECT TYPE:
Individual
Team - List Team Member’s Name:
Submit one proposal per team, but each team member
must complete a separate cover sheet.
RESEARCH/INTERNSHIP MENTOR:
MENTOR DEPARTMENT/AFFILIATION:
PROPOSAL TITLE:
Is your project getting funding from any other source? NO____ *YES ____
*If yes, please provide funding source details in the budget part of proposal*
BUDGET REQUEST (for supplies & expenses not to exceed $300):
No Yes If yes, list Budget Amount: $ __________________ Include a budget breakdown in the proposal
COLLABORATING BUSINESS/ENTITY (If Applicable):
Letter of support must be included in the proposal
My URP/Internship will start:
Fall 2019 Spring 2020
PROPOSAL WORD COUNT:
Anticipated # of URP Credits/semester
(
50hrs/credit)
Spring Semester: Fall Semester:
STUDENT SIGNATURE: _____
Mentors, please respond to the two questions below by initialing the appropriate blank:
1. IRB approval is required (human subjects or surveys). Yes No Unsure
2. Safety training is not required Safety training by Environmental Health & Safety requested
Safety training will be provided by the mentor and documented
NOTE: Page 2 of Appendix C Safety Requirements must be submitted prior to initiation of the project, regardless of which
option is selected.
RESEARCH MENTOR SIGNATURE
In signing, the Research Supervisor/Mentor agrees to mentor and monitor the student’s research activities and assure that the
relevant department has the facilities necessary to support the student’s research. See Appendix I - Mentor Guidelines.
Students and mentors must read, initial and submit the second page of this cover sheet acknowledging that they have
read and agreed to the University’s anti-plagiarism policy. Proposals will not be reviewed until this second page is
submitted and initialed by the student AND mentor.
For Committee Use Only: IRB Needed (Y/N) What Type
Safety Training Required (Y/N) Type of Training
click to sign
signature
click to edit
MONTANA TECH UNDERGRADUATE RESEARCH PROGRAM
Proposal Cover Sheet: 2019-2020 URP/PHI Projects
Revised: 2/14/2019 Montana Technological University Page 2 of 2
Montana Tech Cheating/Plagiarism Policy:
308 ACADEMIC DISHONESTY
(Changes approved at December 10, 2009, Faculty Meeting)
The following will be considered acts of academic dishonesty or cheating:
308.1 PLAGIARISM
A student will be considered guilty of academic dishonesty if he/she submits a term paper, essay, speech,
laboratory report, or other assignment in which all or part of the words or ideas are copied from the published or
unpublished work of another individual without giving the original author proper credit for the words or ideas.
308.2 COPYING FROM THE PAPER OF ANOTHER STUDENTS WHILE TAKING AN EXAM
A student will be considered guilty of academic dishonesty if he/she deliberately looks at and copies from another
individual's examination paper during an examination.
308.3 USING UNLAWFUL AIDS TO PASS AN EXAMINATION
A student will be considered guilty of academic dishonesty if he/she brings to class and uses crib notes, electronic
devices (e.g. cellphones) books, or any other material to assist him/her in passing the examination unless the
instructor of the class has specifically given permission to use such materials.
308.4 AIDING ANOTHER STUDENT
A student will be considered guilty of academic dishonesty if he/she willfully assists another student in any act of
academic dishonesty. Such a person is as equally guilty as the person plagiarizing or copying.
308.5 UNAUTHORIZED SIGNATURES
The use of a person‘s signature without permission is a serious matter and the consequences can be severe.
Possible consequences include:
a. Being dropped from the course by the instructor, department head, dean of the college, or the
University.
b. Loss of tuition paid for the course.
c. University disciplinary action such as probation, suspension, expulsion, and correction of all course
grades.
d. Loss of priority for the course or courses during registration.
308.6 ACTIONS TO BE TAKEN WHEN CHEATING IS DISCOVERED
1. Instructors are responsible for taking reasonable precautions to prevent and discourage cheating in their classes
and must report all cases to the Office of the Vice Chancellor for Academic Affairs.
1. If it is determined that a student is deliberately cheating on an examination or a written or oral assignment, he
or she should receive a grade of ― “F” on that examination or assignment as a minimum penalty. The instructor
may drop the student from the course with an “F” grade.
2. In reported cases of repeated cheating, the Academic Standards Committee may consider applying additional
penalties beyond those imposed by the individual instructors, up to and including expulsion.
ANTI-PLAGIARISM STATEMENT: We have reviewed the Montana Tech Plagiarism Policy and our initials indicate that
this proposal is the student’s original work and properly cites the work of others. In accordance with the Montana Tech
policy, we acknowledge that plagiarism in the proposal will result in rejection of the proposal and a report being filed
with the Vice-Chancellor of Academic Affairs.
(Student) (Mentor)