Campus Address: Campus Phone:

Email: Dept. Fax No.:

Dept. Payroll Coordinator: Phone:

Project Title:

How many students would you be willing to support?

(Faculty contribution per student: $2,000 full-time, $1,000 part-time)

Is there a specific student (or students) you wish to hire? Student Name(s):
(The student MUST complete a student application form. However, you do not need to provide a letter of recommendation for that student.)

Are you willing to consider other student applicants? Yes       No

Is this position: Full time       Part time (approximately 20 hours/week)

Please provide a short description of the proposed research project.




Please provide a brief description

a) Tasks to be performed by student

b) Equipment student will be operating

c) Skills/academic background required to carry out the proposed research
(Essential skills)

(Desirable skills)