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: ___________