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Independent Study Form
Your First Name:
Your Last name:
Your Email address:
Please retype your email address as verification:
Second Major (if any)
Year in school you'll be during this Independent Study:
Year of Project:
Your research supervisor's Dept:
Other (enter below):
Research Supervisor's (PI's) First Name:
Research Supervisor's (PI's) Last Name:
Research Supervisor's Email:
If you will have another supervisor or close mentor in the lab, (ex. post-doc or grad student), please provide their name and email address:
Course Number you will be registering under:
Cell Bio 493
Have you *registered* for Ind Study in this lab before (not just engaged in research in the lab previously)?
Proposed schedule in the lab: (ex. MWF 1-4pm)
Basis for determination of final grade. Should include written report:
Title of Project (limit 60 characters)
Enter a ONE PARAGRAPH abstract or proposal of your research project. If this is a continuation, please provide an updated/revised abstract from your previous one. ABSTRACT MUST BE WRITTEN IN STUDENT'S OWN WORDS, with an emphasis on the questions and hypotheses to be tested and a brief overview of your experimental approach. 250 word max.
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