Neurobiology 91r Registration Form

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Revised   9 /16/2015  
NEUROBIOLOGY   9 1r   R EGISTRATION   F ORM  
 
Neurobiology   9 1r   ( Laboratory   R esearch)   i s   t aken   b y   a ny   6 th,   7 th   o r   8 th   s emester   s tudent   w anting   t o   r eceive  
credit   f or   h is/her   s upervised   n eurobiology   r esearch,   w hether   o r   n ot   t his   r esearch   l eads   t o   a   t hesis.   T his   c ourse  
can   b e   t aken   o nly   t wice   f or   c redit.  
 
STUDENT   A GREEMENT:  
• Commit   t o   w ork   ~ 15   h ours   p er   w eek   m inimum   o n   y our   r esearch   p roject.  
• Submit   a   f inal   w ritten   r eport,   d ue   d uring   r eading   p eriod.   ( See   t he   N eurobiology   F orms  
webpage   f or   d etailed   r eport   i nstructions.)  
• Ask   y our   r esearch   l ab   d irector   a bout   h is/her   e xpectations   a nd   s tandards   f or   g rading.  
• Meet   w ith   y our   r esearch   l ab   d irector   s everal   t imes   d uring   t he   s emester.  
• Complete   t he   a ppropriate   l aboratory   s afety   t raining.   ( See   t he   e nd   o f   t his   d ocument   f or  
information.)  
Student   N ame:   ( P
P
)  
Email:  
HUID:  
LEASE  
RINT
Brief   T itle/Description   o f   P roject:  
Year:   ( circle   o ne)         J unior     /     S enior  
Semester   a pplying   f or   9 1r   c redit:         F all     /     S pring  
Student   S ignature:  
 
FACULTY   A GREEMENT:    
• Assign   a   g rade   f or   t he   s tudent   a t   t he   e nd   o f   t he   s emester   b ased   o n:  
1) Fulfillment   o f   t ime   c ommitment   ( ~15   h ours   p er   w eek   m inimum).  
2) Assessment   o f   t he   s tudent’s   p erformance   ( interest,   d rive,   i mprovement,   e tc.)   –   p lease  
discuss   t his   w ith   t he   s tudent’s   d aily   s upervisor   ( e.g.   p ost-­‐doc   m entor).  
3) Quality   o f   t he   e nd   o f   t he   s emester   r esearch   p roject   w ritten   r eport.  
• Clarify   t he   e xpectations   a nd   s tandards   f or   g rading   b efore   s igning   t his   f orm.  
• Meet   w ith   t he   s tudent   s everal   t imes   p er   s emester   t o   r eview   h is/her   p rogress.  
• Ensure   t hat   t he   s tudent   c ompletes   a ppropriate   l aboratory   s afety   t raining.   ( See   t he   e nd   o f  
this   d ocument   f or   i nformation.)  
Research   L ab   D irector:   ( P
P
)  
LEASE  
RINT
 
 
(GRADUATE   S TUDENTS   O R   P OST-­‐DOCTORAL   M ENTORS   S HOULD   N OT   B E   L ISTED   H ERE.)  
Address:  
Email:  
Telephone:  
Research   L ab   D irector's   S ignature:  
 
 
(GRADUATE   S TUDENTS   O R   P OST-­‐DOCTORAL   M ENTORS   S HOULD   N OT   S IGN   H ERE.)  
 
 
Page   1   o f   2  

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