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Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
What year are you?
 
First year
 
Second year
 
3rd year
 
Fourth year
 
 
 
What is your major(s), minor(s)?
   
 
 
 
Why do you want to participate in undergraduate research?  What do you hope to gain out of participating in undergraduate research?:
   
 
 
 
Are you able to commit a year to the research experience?  (~10 hours / week during the academic year and 20 hour / week in the summer)