Student Initiated Research Fellowship Form
Please fill out all fields required

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All questions are required to be answered unless marked as OPTIONAL.
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Student Information
First Name
Last Name
Student ID
Colgate University Mailbox #
Class Year
Faculty Information
Faculty's First Name

Faculty's Last Name

Faculty's Email Address:

Faculty Dept.
Research Information
Proposal Title (maximum 250 characters)
Please select which divsions this research application form will be submitted to...

Are you applying for other summer research opportunities through other divisions or programs at Colgate?

If yes, please indicate, in the space below, what other research positions you will be applying for including division and faculty mentor's name.

Start Date
Month: Day: Year
End Date
Month: Day: Year
Have you been funded for any previous summer research at Colgate University:
Year and funding source for previous summer research.
I have read and will comply with the Institutional Review Board requirements for research involving people.