Undergraduate Research Opportunities Program (UROP) 2010 Application Form PLEASE COMPLETE YOUR DETAILS AND EMAIL TO: [email protected] BY 15TH MARCH 2010 Personal Details Given Name: Family Name: Title (Mr/Ms/Miss/Mrs): Student ID Number: Course(s) Enrolled: Year Level (as at Sem 1/2010): Tel: Mobile: Email: Previous research experience, if any: __________________________________________________________________________________ __________________________________________________________________________________ Commitment to UROP I am interested in participating in UROP because: I understand that participation in UROP will involve me in: spending the equivalent of one day a week on my UROP project satisfying the Occupational Health and Safety requirements in the laboratory/ workplace attending seminars provided by the UROP team to assist me in my research training understanding the ethics of research, including plagiarism, academic fraud understanding Monash University's policy/regulations/guidelines (?) on Confidentiality and Intellectual Property D:\81907642.doc 1 I would like to apply for the following UROP projects in 2010 Project Details In no more than a page, please tell us why you chose the project, and what you want to get out of it. 1. First Preference: Project Title: Project Supervisor: Tel: Email: Summary of project (your understanding): Reason for choosing the project: In particular, the following aspect(s) of the project excites me: What I want to get out of the UROP Project, academically and personally: D:\81907642.doc 2 Project Details In no more than a page, please tell us why you chose the project, and what you want to get out of it. 2. Second Preference (Optional): Project Title: Project Supervisor: Tel: Email: Summary of project (your understanding): Reason for choosing the project: In particular, the following aspect(s) of the project excites me: What I want to get out of the UROP Project, academically and personally: D:\81907642.doc 3 Project Details In no more than a page, please tell us why you chose the project, and what you want to get out of it. 3. Third Preference (Optional): Project Title: Project Supervisor: Tel: Email: Summary of project (your understanding): Reason for choosing the project: In particular, the following aspect(s) of the project excites me: What I want to get out of the UROP Project, academically and personally: Thank you for your application and interest in UROP. You will be contacted shortly Teri Foster D:\81907642.doc 4
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