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Shufeldt Student Research Project Submission

First Name

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Last Name

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Email

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Phone Number

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Project Status (New or Ongoing)

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Research Project Title (can be a working title)

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Project Narrative (3 sentences max)

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Specific Aims

Principal Investigator

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Administrative Contact (name, email, phone number)

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Funding Source

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Additional Info (please add any other information that may be important for the Research Oversight Committee to consider in their review, e.g. compliance/agreements/IP needs, etc.)