PHCL4993 Directed Studies Contract

THIS CONTRACT MUST BE FILLED OUT AND FORWARDED FOR APPROVAL.
A NEW CONTRACT MUST BE COMPLETED FOR EACH TERM OF REGISTRATION.
Detailed instructions and permission number information are found on the last page.
Student Information
Name:
Student ID#:
University E-mail:
College: Major: / Faculty Mentor Information
Name:
Department:
University E-mail:
College:
Office Phone:

The following contract guidelines should be completed by the student and the faculty mentor.

1) Requested Registration – Proposed credits
Note that 1 credit requires a minimum of 45 hours of effort per term.
Year:
Term (check one) 1
(Double click on the correct box and select “checked” as the default value.) / Fall
Spring
Summer
Credits

1 Students may work longer than a term in with a given Faculty Mentor but must submit a new Directed Study contract each

semester if they wish to receive credit.

2) The proposed project title:

3) The objective of the project: (The objective should be written by the student, in the form of a brief abstract. It should explain the goals and broad pharmacological significance of the project.)

4) The methods and resources to be used: (The methodology should be briefly described by the student.)

The Section 5 must be filled out by the Faculty Advisor

5) The procedure for evaluating the project: (The grading basis for Directed Studies is S/N).

Check all that apply: (Double click on the correct box(es) and select “checked” as the default value.)

Meet regularly with faculty mentor / Review lab notebook regularly with faculty mentor
Give a lab meeting presentation / Prepare a poster summarizing your research
Attend scheduled lab meetings / Present research at Undergraduate Symposium or other meeting
Write a summary paper
Other, please describe:

6) Signatures and Acknowledgements

Signature of Student / Date
To “sign” this contract, type in your name and the date and send a copy of the completed contract as an attachment via your U of M email account to your Faculty Mentor.
Signature of Faculty Mentor / Date
To “sign” this contract, type in your name and the date and send a copy of the completed contract as an attachment via your U of M email account to the Director of Undergraduate Studies Dr. Hiroshi Hiasa ().
Signature of the Director of Undergraduate Studies / Date
The DUS will review the contract and either approve it or request a modification. The approved contract will be given a permission number.
Permission number:
Modification Required:

Revised 4/5/2017 1