2008 - 2009 Undergraduate/Faculty Research Fellowships University of Wisconsin-Madison

APPLICATION FOR (PLEASE CHECK ONE) HILLDALE   HOLSTROM
Faculty Information
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Title:
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Student's Parent/Guardian (for award publicity)
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Student Information
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(if you live in a dorm, use the dorm name)
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Major(s):
Level: Junior (54-95 credits)
Senior (96+ credits)
UW ID#:
U.S. Citizen or U.S.
Permanent Resident:		 Yes
No
 
Academic Field of Study List Any Other Awards of
Funding for the Same Project
Biological Sciences Humanities
Physical Sciences Interdisciplinary
Social Sciences   
 
Support Requested to Begin Expected Date of Graduation (MM/YYYY)
Summer 2008
2008-2009 Academic Year 		Expected Graduation (MM/YYYY) 
Title of Proposed Research Project:
Special Conditions: Students must (a) enroll for 3 credits of supervised research, senior thesis, or directed study during summer 2008 or the 2008-09 academic year, and (b) have had their proposals approved by the Human Subjects and/or Animal Care and Use Committee(s) if they propose to use human or animal subjects. Student recipients are expected to present their work at the Undergraduate Symposium in April 2009. Upon completion of the research project, the student and faculty/staff member are asked to submit jointly a report of approximately 500 to 1,000 words to Undergraduate Academic Awards, Office of the Provost (271 Bascom). PLEASE NOTE: IF THE CONDITIONS OF THIS FELLOWSHIP ARE NOT FULFILLED, A HOLD WILL BE PLACED ON YOUR ACADEMIC RECORD UNTIL COMPLIANCE IS ACHIEVED.