UNDERGRADUATE RESEARCH & CREATIVE SCHOLARS PROGRAM APPLICATION
Title of Proposal:
Name of Applicant Salutation (Mr. Ms. Mrs.)
W #
Major
College E-Mail address
Phone number
Total Credit Hours Completed:
Cumulative GPA:
Expected Graduation Date:
(Note: Students must have completed 30 hours of undergraduate coursework with a minimum
cumulative GPA of 3.0 and have at least two semesters remaining before graduation. Proposals will not
be accepted for research projects that have been largely completed prior to application.)
Applicant’s Faculty Advisor
Faculty Advisor’s Department
Faculty Advisor’s email and phone number
Applicant’s Department Head
Compliance Issues: Will your research involve any of the following? Check where appropriate.
_____ *Vertebrate Animals ______ *Infectious Biohazards _____ *Human Subjects
*IRB or IACUC approval may be required. You must obtain the appropriate compliance approvals well in
advance of starting your research project.
ENDORSEMENTS:
X___________________________________________ ________________
Signature of Applicant Date
X____________________________________________ ________________
**Signature of Advisor Date
**By my signature, I am indicating that I have reviewed this research/creative proposal, discussed it with
the applicant, and approved its contents. My signature indicates that I agree to serve as his or her
Faculty Mentor.
