Research Application: Office of Undergraduate Research


Application Form
To which research program are you applying for:*
Application Deadline: *


Student (1) Information
Student Name: *	first name / last name
VIP ID: *	What's my VIP ID?
Birthdate: *	/ /
Email: *
Local Phone: *	ie. xxx-xxx-xxxx
Local Address: *	, city, state zip
Campus: *
Major: *
Major 2 / Minor:
Academic Year: *	1 2 3 4+
Select all that apply:	SCHC Capstone Scholar Trio
Residence learning community: *
Residence Hall: *
[ * add students (4 total) ]		[ * remove last student ]


Project Information
Project Title: *
Project Description: (.doc or .pdf only)
Total budget requested: *
Will you be using vertebrate animals in any part of this research project? *		Yes No
Will you be using human subjects in any part of this research project? *		Yes No
Is this a resubmission? *	Yes No

TERMS AND CONDITIONS By submitting this document, the student and faculty mentor assume responsibility for the project activities outlined in the proposal and agree to the following terms and conditions. Both parties have read and understand the current guidelines regarding expenditures related to this proposed work. The student agrees to participate in Discovery Day. All projects are subject to the USC Intellectual Property Policy: http://sc.edu/policies/acaf133.html.