SRP-99 Faculty Participation Form
The Student Research Program (SRP) requires that all participating UCLA Faculty have a completed Faculty Participation Form on file before they can sponsor a SRP-99 course. SRP Faculty Mentors must hold a tenure track (or similar) position. Postdoctoral scholars, graduate students, and staff researchers can supervise and work with SRP-99 students but cannot serve as the sponsoring faculty for SRP-99. SRP Faculy Mentors are the official instructor of record and will submit the student's grade at the end of the quarter.

If you are interested in recruiting undergraduates and advertising a research opportunity, we encourage you to post your opportunity on the Undergraduate Research Portal on MyUCLA. If you need assistance, please email the Undergraduate Research Center – Sciences at

You will receive a confirmation email once you are officially entered into the SRP Mentor Database.

Please note that this form is only valid for SRP-99 courses. For more information about upper-division tutorials (numbered 196–199), contact a Student Affairs Officer (SAO) in your home department. Upper division tutorial courses are administered by academic departments, not the Undergraduate Research Centers.
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Email *
UID (9 digits, no dashes): *
Last Name: *
First Name: *
Academic Title (Professor, Associate Professor, Assistant Professor, etc.): *
Department (1): *
Department (2 - for multiple appointments):
Department (3 - for multiple appointments):
Campus Phone: *
Campus Address (Building and Room #) *
Campus Address Line 1 (Street # & Name): *
Campus Address Line 2 (City, State & ZIP Code): *
Campus Mail Code (6 digits, no dashes)
A copy of your responses will be emailed to the address you provided.
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