Form 4ur - Undergraduate Research Project (Urp) Research Registration Form printable pdf download

4UR

UNDERGRADUATE RESEARCH PROJECT FOR CREDIT

Rensselaer Polytechnic Institute

Office of the Registrar

110 8

St., Troy, NY 12180 276-6231 Fax: 276-6180 registrar@rpi.edu

This form is due to the Registrar’s Office no later than the end of the 2

week of classes, the ADD deadline. Please make a copy for your records.

PART 1 (STUDENT INFORMATION)

Student Name Last, First, MI

Rensselaer ID Number:

Date:

Term/Year: (check one and indicate the year)

Summer_________ Circle the session: 1

Fall _______

Spring _______

School Email Address:

Phone:

PART 2 URP (UNDERGRADUATE RESEARCH PROGRAM)

Circle one:

Credit hours (1-4):

Subject Code ( e.g.) COMM, MATH) : ____ ____ ____ ____

2000 level (2941) 4000 level (4941)

Transcript Course Title: Maximum of 30 characters including spaces and punctuation

PART 3 LAB SAFETY TRAINING (PLEASE ANSWER ALL QUESTIONS)

Conducting research in an experimental lab?

Circle:

YES

Completed lab safety training?

Circle:

Indicate most recent month/year training was completed _____________________

Circle:

Indicate when training will be completed

_____________________

PLEASE NOTE: lab safety training is required BEFORE you begin to work in an electrical, biological, chemical, or radiation laboratory.

Additional training requirements may be identified and required. Check with your instructor if you have questions.

PART 4 SCHOOL OF SCIENCE RESEARCH REGISTRATION

Check the appropriate course number and indicate credit hours

BIOL 2900 Research in Biology ________ cr. hr.

BCBP 2900 Research in BCBP ________ cr. hr.

BIOL 2930 Out of the Classroom Experience in Biology ________ cr. hr.

Students admitted to the accelerated BS/PHD

BCBP 2930 Out of the Classroom Experience in Biochem/Biophysics ________ cr. hr.

program in Science only.

BIOL 4900 Team Research ________ cr. hr.

Check if this registration is one of your

BIOL 4970 Non Thesis Research ________ cr. hr.

required Research Rotations

_________

BCBP 4970 Non Thesis Research ________ cr. hr.

BIOL 4990 Senior Research Thesis ________ cr. hr.

BCBP 4990 Senior Research Thesis ________ cr. hr.

CHEM 2930 Out of the Classroom Experience ________ cr. hr.

CHEM 2950 Undergraduate Research ________ cr. hr.

CHEM 4970 Advanced Research (Chemistry junior or seniors only) ________ cr. hr.

ERTH 4970 Out of the Classroom Experience ________ cr. hr.

Optional Transcript Title: Maximum of 30 characters including spaces and punctuation:

PART 5 (TO BE COMPLETED BY THE INSTRUCTOR): DESCRIPTION AND GOAL OF THE PROPOSED RESEARCH,

INCLUDE INFORMATION ON THE SPECIFIC ROLE OF THE STUDENT

Form 4ur - Undergraduate Research Project (Urp) Research Registration Form

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