Undergraduate Research Scholar Designation (URSD) Application Form

Undergraduate Research Scholar Name * Required
First Last
Undergraduate Research Scholar ID * Required

Student ID
Major * Required
Minor
Email * Required
Phone * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
First Semester
First Semester * Required

example FALL 2020
Faculty Mentor Name – First Semester * Required
Faculty Mentor Email – First Semester * Required
Faculty Mentor Department – First Semester * Required
Second Semester
Second Semester * Required

example SPRING 2020
Faculty Mentor Name – Second Semester * Required
Faculty Mentor Email – Second Semester * Required
Faculty Mentor Deparment – Second Semester * Required
Presentation Title and File
Presentation Title * Required
Presentation File * Required
Accepted file types: pdf, Max. file size: 10 MB.
Upload your presentation .pdf
Publication Title and File
Publication Title * Required
Publication File * Required
Accepted file types: pdf, Max. file size: 10 MB.
Upload your publication .pdf

First Semester