My Information
AC ID #


Proposed Study Information

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Course (DEPT-Number)


Amount of time dedicated to study. Please confirm with your professor before completing this form.


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Discipline in which the study is to be conducted

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Student Currrent Cumulative GPA (#.##)

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Student Major(s)

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Student Minor(s)


Term in which the study will be conducted:



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Who is your Faculty Supervisor for this project?

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Year conducted


Grading System

Please confirm with your professor before completing this form.


Student Classification when study conducted


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Title of the Proposed Study

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Objective of the Proposed Study

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What courses have you taken to prepare you for this work?

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Outline your study and identify the resources and materials you plan to use

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How do you plan to allocate your time to complete this study?


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Who is your Faculty Mentor?