ELON COLLEGE FELLOWS

499 REGISTRATION FORM

MEET WITH YOUR FACULTY MENTOR PRIOR TO COMPLETING THIS FORM. COMPLETE THE FORM ON A COMPUTER AND EXPAND THE PROJECT DESCRIPTION COMPONENT

Registration Deadlines:

Fall 2007: Monday, 10 September 2007

Winter 2008: Friday, 04 January 2008

Spring 2008: Monday, 11 February 2008

Course Number: 499Department

Semester (including year) Credit Hours

Student Name (printed): First M.I. Last

Student’s Elon ID (Datatel) Number

Student’s Campus Box Local Phone Number

Major(s):Academic Advisor:

Faculty Mentor: First M.I. Last

Check your Fellows Status:Sophomore or second year Fellow

Junior or third year Fellow

Senior or fourth year Fellow

Have you taken ECF 311, 312 or 313?Yes No

If yes, be sure that your Fellows Branch Director (M.Fels, TLee, or TMould) has an updated copy of your Fellows Project Proposal including budget.

Credit Hours of 499 that you have already taken:

Total Credit Hours of 499 that you are registering for:

Intended 499 hour distribution

Fall of junior year Spring of junior year

Fall of senior year Spring of senior year

DESCRIPTION OF RESEARCH CONTRACT (for current 499 registration)

COMPLETE FORM ON A COMPUTER AND EXPAND THIS PORTION.

Work with your faculty mentor and provide the following.

Research Title

Summarize the specific goals and objectives of this 499 experience relative to your overall Fellows ResearchProject.

In a short paragraphdescribe

1. The time commitment you and your mentor have agreed upon. How often will you meet with your mentor? How much time does your mentor expect you to commit to this research outside of these meeting times?

2. What are the expected requirements, outcomes or products of this 499 experience? What assignments will you complete? Provide a timeline for when you will complete these requirements.

3. How will you be evaluated? Provide criteria for the grading of specific assignments as well as the learning experience overall.

All independent research involving Human Participants must be reviewed and approved by Elon’s Institutional Review Board prior to conducting the research.

REQUIRED SIGNATURES

Student Date

Faculty MentorDate

Fellows Branch DirectorDate

Academic AdvisorDate

Department ChairDate

Isabella Cannon CentreDate

(If research is done out of the United States)

A copy of this completed and signed document must be submitted toyour Branch Director; (Fels, Lee and Mould), your Academic Advisor, your Faculty Mentor and to Bernice Foust in Duke 209. You will also use this form to register for 499 at the Registrar’s Office. For additional information about 499 see