Submit: 1 electronic copy to nrsc@pugetsound.edu and 1 hard copy signed by your neuroscience faculty advisor to WEY 307A. NOTE: Proposal Approval Form must be approved by April 1 for spring graduation Date Submitted MM / DD / YYYY Student Name First Last Campus Mailbox Email Anticipated Grad Term/Year Faculty Advisor Please complete the following questions about your research/internship proposal. Use a separate page, if needed. What do you plan to do for your research or internship Describe your role and responsibilities. Where will you conduct this work? Who will serve as your supervisor (on or off campus)? Provide Name and contact information: What is your anticipated start date? MM / DD / YYYY What is your anticipated end date? MM / DD / YYYY Will you earn credit for this work? Yes No If so, what is the course number? Will you receive payment for this work? Yes No If you are participating in a structured off-campus program, please describe the program and include program materials and internet links. Plan Reviewed with student NRSC Advisor Signature Required Date MM / DD / YYYY NOTE: Students will be asked to present their research work at a public forum in the form of a 15-20 minute talk. The venue and date for this presentation will be announced at a later date. Students will NOT be evaluated on their talk, rather this will be a forum for them to present their work to a larger audience. Siddharth Ramakrishnan, Chair in Neuroscience Date MM / DD / YYYY