MMI 699 Directed Study Application

If you are interested in enrolling for MMI 699 Directed Study credit, identify a MMI faculty member whose research interests match your own. Fill out this application, and your information will be forwarded to that faculty member. Most faculty would appreciate it if you would also send to them a current resume and a copy of a recent transcript via email or postal mail. If the faculty member is interested, s/he will contact you for more information. Be aware that completing this application does not guarantee you will be accepted for a MMI 699 Directed Study project.


Last name	First name	Middle initial

Email:
Student ID Number:	(10 Digits, No Hyphens)
Degree Program:
Year:

I am interested in conducting research in the lab of during semester(s) (semester/year). If you are unsure which faculty mentor to choose, please visit the MMI Faculty Directory and review our faculty's research interest statements. Please be selective in your choice of which lab you wish to join, and send this form only to those faculty who are conducting research that is interesting to you. Targeting one or two labs in your search for a 699 project is much more effective than sending this form to all MMI faculty members.

My reasons for wanting to join this lab include (check all that apply):
	Gain experience in this particular field of research.
	Gain general experience in a research laboratory.
	Receive undergraduate (699) credit for this research experience.
	Receive student hourly pay for this research experience.
	I plan to apply to a graduate program in the future.
	I plan to apply to medical school or another professional program (veterinary, pharmacy, etc) in the future.
	Other. Please describe:


Courses I've taken that prepare me for this research experience include (please include grades received in these courses):


I have had previous research experience: Yes No

If yes, please describe:

Please provide any additional information you feel would help the faculty member make a decision regarding your request:


Please enter the characters you see in the image below. To help you recognize the image, the phrase is five random capitalized characters and two numbers randomly interspersed.