Spring 2016 URP Approval Form

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Undergraduate Research
Program (URP)
URP Approval Form
Spring 2016
Complete the form - scan and e-mail to mcginnr@temple.edu or drop off completed form at 1810 Liacouras
Walk Room 203F. Please contact Rose McGinnis if you have any questions mcginnr@temple.edu
All Forms are due by Friday November 20th , 2015.
Faculty Sponsor Information
Name _______________________ Signature _________________ Date _______
Department/School ________________________ Phone Number _______________
Project Title ______________________________________________________
Faculty Research Account ___________________ (required)
Student Information
Name _______________________ Signature _________________ Date _______
9-digit TUID ______________ CST Major ____________________ Phone Number ____________
Have you participated in URP in the past? Yes ___ No ___ If Yes what semester_______________
Have you ever been on Temple Payroll? Yes _____ No _____
Research Course Information - You must register for the research course prior to submitting form
Dept # _________ Course # _________ Section # _____ CRN ________ Credits hours ______
Hours per week spent in lab for course contact hours (must be at least 3 times the credit hours) _______
If you are taking a Biology or Chemistry research course you must complete the department required forms to be
eligible to complete your research – please see the Faculty Advisor in the Biology or Chemistry department for
additional information.
Department Approval Signature (required)
The Faculty Advisor in the CST Department where the student is taking the course must approve the research course
Name _______________________ Signature _________________ Date _______
_________________ CST Dean’s Office Approval ______________________
This section will be completed in the Dean’s office after form submitted to Rose McGinnis
Dr. Shohreh Amini - Signature _____________________ Date _______
Date Received: _________________ Academic status: ______ Registration _______ Number of Previous URP Semesters: ___________
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