Chemistry Undergraduate Research Application
Use this form to apply for CHEM 391, 491, 492, 493 or a thesis.

A copy of this application will be submitted to the student's proposed Research Advisor. If you are applying for Honor's research or a thesis, your Research Advisor will be asked to submit a recommendation to the Course Instructor.

Personal Information
First Name:
Your answer
Last Name:
Your answer
Rice Email:
Your answer
Matriculation Year:
Your answer
Graduation Year:
Your answer
Your Current GPA:
Your answer
Have you declared your major at this time?
Required
Intended or Declared Major(s)
Note B.S. or B.A.
Your answer
Research Course Information
Research Advisor:
Provide the name of the lab head (principle investigator) who has granted permission for you to work in his/her lab.
Your answer
Day-to-Day Research Mentor Name:
The name of the postdoc, graduate student, Research Advisor or other Research Group Member who will most closely monitor your progress.
Your answer
If your Research Advisor is not a Rice Chemistry Professor, the following information must be provided.
Type NA if not applicable.
Research Advisor's Email:
Your answer
Phone Number:
Your answer
Profession Title:
Your answer
Institution and Department Where Employed:
Your answer
If conducting research off-campus, have you received institutional clearance? Institutional clearance must be gained before the end of the second week of classes or you will be asked to drop the course. No exceptions!
Application
What Semester are you Applying for:
Required
Have you previously taken CHEM 391?
If the answer is no then you are not eligible to enroll in any other research course.
Required
Course Number that you are Enrolling in:
Select only one option.
How Many Credit Hours do you Want to Take:
CHEM 391 must be taken for at least 3 credit hours.
Have you previously conducted research (over the summer or during the school year) with the Research Advisor you listed above?
If yes, please provide the semesters.
Your answer
If you completed research with a different Research Advisor, which semesters and with which Research Advisor?
Your answer
Title of Your Research Project for this Upcoming Semester:
Your answer
CHEM 391 and 491 Abstract
If applying for CHEM 391 or 491, provide a brief abstract (3-5 sentences) of the work you plan to conduct this semester.
Your answer
CHEM 492 and CHEM 493: Have you submitted your Research Proposal?
If applying for Honors Research you must email your proposal (1-2 pages with figures, references, etc.) to the Course Instructor.
Required
If applying for Honors Research or a thesis, have you informed your Research Advisor that a letter of reccomendation is required?
Required
If completing a thesis with an off-campus Research Advisor, who is your on-campus secondary Research Advisor?
Type NA if not applicable.
Your answer
Special Considerations:
Are there any other experiences or circumstances that should be considered in this application?
Your answer
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