BME 3860/3861 REGISTRATION FORM - STEP 1 (STUDENT)

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Student Name Student Name First Last
VUnetID
Student Email
Anticipated Graduation Term
Research Advisor’s Name Research Advisor’s Name First Last
Research Advisor’s Title
Research Advisor Email
CAUTION: Refrain from using ANY special characters in your response below. The use of special characters will cause your submission to be rejected.
Project Title
Project Abstract
Brief abstract of project including background, hypothesis, objectives, methods, and expected outcomes. (~300 words, 2 or 3 sentences for each part) Maximum of 400 words allowed. Currently Entered: 21 words.
Semester (Fall, Spring, Summer)
Course (BME 3860 or BME 3861)
Number of credit hours (1, 2, or 3)
Once you have completed this form, it will be sent to your Research Advisor for approval. You are responsible for following up with your advisors and setting up an appointment if your advisors have any concerns. Once your Research Advisor has approved your application, it will be forwarded to the Director of Undergraduate Studies, Dr. Anita Mahadevan-Jansen who will fill out a form that will be sent to the Course Director for BME 3860/3861. After the course director approves, a final form with your information with be sent to Adam McKeever-Burgett. Your signature below acknowledges your understanding of the above instructions and have read the course requirements for BME 3860/3861 as described on the BME 3860/3861 course website.