2016-2017 Research, Academic Medicine, and Scholarly Project Form
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In order to complete a Research, Academic Medicine, or Scholarly Project Block, you must have an advisor and a specific project.
Your project must be approved by your advisor before completing this form.
For Research and Academic Medicine Blocks, this must be submitted no later than 4 weeks prior to the start date of the rotation.
For Scholarly Projects, this must be submitted by Oct 1st 2016.
At the completion of the Block or on March 26th for Scholarly Projects, your faculty advisor will be sent your evaluation form.
Student TUID
Your answer
Student First Name
Your answer
Student Last Name
Your answer
Student Email
Your answer
Block Date
Type of Project
Description of the Approved Research/Academic Medicine/Scholarly Project Plan:
Your answer
Advisor First and Last Name
Your answer
Advisor Email address
Your answer
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