DART Undergraduate Student - EPSCoR Reporting
All undergraduate students involved in the DART project must complete this form for NSF reporting purposes. This includes students who are being paid and students who are not being paid but plan to participate.

Questions? Contact Jennifer Fowler at JFowler@ArkansasEDC.com

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Full Name *
School Email Address *
Personal email address
Institution *
What degree are you pursuing? *
When is your planned graduation date? (Estimate is ok) *
Phone Number *
Gender *
Race and Ethnicity (choose all that apply) *
Do you have a disability? *
Are you a US Veteran? *
Are you a first generation college student? *
Who is your DART faculty supervisor? *
Who is your faculty mentor (if different from above)?
Are you paid by the DART EPSCoR grant? *
Which project component(s) are you involved in? *
Brief description of your role in DART. *
Have you ever worked on a collaborative research project before? *
Have you heard of EPSCoR before? *
Are you planning to attend graduate school? *
Questions or comments?
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