Undergraduate Research Application

Student (1) Information

Student Name:

Title

Student Title 1

First

Student First Name 1

Last

Student Last Name 1

(please note that title will be used in emails to both student and mentor)

Preferred First Name (if different than given name):

USC ID:

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Email:

Local Phone:

Campus:

Major:

Major 2 / Minor:

Academic Year:

1 2 3 4+

Graduation Month/Year:

Month

Student 1 Graduation Month

Year

Student 1 Graduation Year

Select all that apply:

SCHC Capstone Scholar Trio

Residence learning community:

Residence Hall:

[ * add students (4 total) ]

[ * remove last student ]

Additional Student (2) Information

Student Name:

Title

Student Title 2

First

Student First Name 2

Last

Student Last Name 2

(please note that title will be used in emails to both student and mentor)

Preferred First Name (if different than given name):

USC ID:

Find your USC ID (letter+8 digits) by logging into the Forgot IDs module.

Email:

Local Phone:

Campus:

Major:

Major 2 / Minor:

Academic Year:

1 2 3 4+

Graduation Month/Year:

Month

Student 2 Graduation Month

Year

Student 2 Graduation Year

Select all that apply:

SCHC Capstone Scholar Trio

Residence learning community:

Residence Hall:

Additional Student (3) Information

Student Name:

Title

Student Title 3

First

Student First Name 3

Last

Student Last Name 3

(please note that title will be used in emails to both student and mentor)

Preferred First Name (if different than given name):

USC ID:

Find your USC ID (letter+8 digits) by logging into the Forgot IDs module.

Email:

Local Phone:

Campus:

Major:

Major 2 / Minor:

Academic Year:

1 2 3 4+

Graduation Month/Year:

Month

Student 3 Graduation Month

Year

Student 3 Graduation Year

Select all that apply:

SCHC Capstone Scholar Trio

Residence learning community:

Residence Hall:

Additional Student (4) Information

Student Name:

Title

Student Title 4

First

Student First Name 4

Last

Student Last Name 4

(please note that title will be used in emails to both student and mentor)

Preferred First Name (if different than given name):

USC ID:

Find your USC ID (letter+8 digits) by logging into the Forgot IDs module.

Email:

Local Phone:

Campus:

Major:

Major 2 / Minor:

Academic Year:

1 2 3 4+

Graduation Month/Year:

Month

Student 4 Graduation Month

Year

Student 4 Graduation Year

Select all that apply:

SCHC Capstone Scholar Trio

Residence learning community:

Residence Hall:

Additional Student (5) Information

Student Name:

Title

Student Title 5

First

Student First Name 5

Last

Student Last Name 5

(please note that title will be used in emails to both student and mentor)

Preferred First Name (if different than given name):

USC ID:

Find your USC ID (letter+8 digits) by logging into the Forgot IDs module.

Email:

Local Phone:

Campus:

Major:

Major 2 / Minor:

Academic Year:

1 2 3 4+

Graduation Month/Year:

Month

Student 5 Graduation Month

Year

Student 5 Graduation Year

Select all that apply:

SCHC Capstone Scholar Trio

Residence learning community:

Residence Hall:

Mentor Information

Project Information

NOTE: For travel abroad, you must complete all forms and requirements by the Magellan Scholar deadline or lose funding. Research Abroad Tips [pdf]

TERMS AND CONDITIONS
By submitting this document, the student and faculty mentor assume responsibility for the project activities outlined in the proposal and will abide by the terms and conditions of the grant. Both parties have read and understand the current guidelines regarding award expenditures.

All projects are subject to the USC Intellectual Property Policy [pdf].

Undergraduate Research

Use This Application for the Following Awards:

Magellan Scholar Award Applications

Application Form

Student (1) Information

Additional Student (2) Information

Additional Student (3) Information

Additional Student (4) Information

Additional Student (5) Information

Mentor Information

Project Information

Challenge the conventional. Create the exceptional. No Limits.