SUBMIT TO Pike House
Name
Address where you may be reached on & after Commencement in May:
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Phone Number (s)
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Major
Field of Interest QPA
Total
Credits Earned Honors
Credits Earned
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Description of proposed project (topic & research method):
Estimate of the number of hours you expect to work on project this summer:
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To be filled out by faculty adviser:
Name of faculty research adviser and department:
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Feasibility of completion of the project over the summer:
Probability that the project will lead to a joint student-faculty publication, presentation, thesis, or other outcome:
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Faculty Signature Date