Override Entered
Rev. 4/2018
University of Wyoming Department of Petroleum Engineering
Request for Undergraduate Research or Internship Credit
Student Name W #
Email Address Phone
Status (Check One) ☐ Sophomore ☐ Junior ☐ Senior
Semester (Check One) ☐ Fall ☐ Spring ☐ Summer Academic Year
Project Start Date: End Date:
Course Selection ☐PETE 3900 UG Research ☐PETE 4970 Internship in PetroEng # of credits
☐PETE 4970 Co-Op Agreement # of semesters
Each credit hour earned reflects a minimum of 3 hours of actual work per week on this project • A maximum of 3
credits may be earned in a semester in either course • A maximum of 6 credits total may be earned in each course.
Faculty Sponsor Name Email
Brief description of the project summarizing the proposal given to the Faculty Sponsor.
Submit both documents, this request and the written proposal, to the Faculty Sponsor. Electronic submission is acceptable with valid e-signature.
Otherwise, sign and submit a hard copy.
Student Signature Date
THIS SECTION MUST BE COMPLETED BY FACULTY SPONSOR
Required assignment(s) ☐ Public Presentation
☐Weekly/Monthly report ☐Summary report - # pages
(Check all that apply)
Your signature below indicates that you have reviewed the student’s written proposal as summarized
above and have agreed to sponsor/supervise the student’s work. A copy of the student’s final
assignment(s) must be sent to the Office Manager to be kept in the student’s file.
Signature Date
DEPARTMENT HEAD REVIEW
I have reviewed the request and proposal. It is ☐ Approved ☐ Denied
Comments
Signature Date
Course Created CRN
Copies
Final Report Received
