SRP Faculty Participation Form
The Student Research Program (SRP-99) requires that all participating UCLA Faculty have a completed Faculty Participation Form on file before undergraduates are able to generate course contracts. SRP Faculty Mentors must hold a tenure track (or similar) position. Postdoctoral scholars, graduate students, and staff researchers cannot serve as an SRP Faculty Mentor.

If you are interested in recruiting undergraduates and advertising a research opportunity, we strongly encourage you to post your opportunity on the Undergraduate Research Portal on MyUCLA. If you need assistance, please contact the Undergraduate Research Center – Sciences at 310-794-4227 or urcsciences@college.ucla.edu.

You will receive a confirmation email and information packet once you are officially entered into the SRP Mentor Database.
Sign in to Google to save your progress. Learn more
Email *
UID (9 digits, no dashes): *
Last Name: *
First Name: *
Academic Title (Professor, Associate Professor, etc.): *
Department (1): *
Department (2 - for multiple appointments):
Department (3 - for multiple appointments):
Campus Phone: *
Campus Address (Room # & Building) *
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.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Google Apps for UCLA. Report Abuse