Student Research Program Support

Student First Name

Student Last Name

Student E-mail Address

(name.#@osu.edu)

Student Program (Required)

Dental Hygiene

Dentistry

Student Status (Required)

Confirmed acceptance

Year 1

Year 2

Year 3

GPA in the Program (not required of accepted students):

Note: As noted in the Student Research Program description, the GPA generally required of successful applicants is 3.00 at a minimum.

Research Mentor

Division of Research Mentor

Title of Research Project

Abstract of Proposed Research (500 Word Limit)

The research proposal must be composed by the student, in cooperation with the mentor(s). Describe the significance of the project, the specific aim(s), and the hypothesis(es) to be tested, even if the hypothesis-testing phase may be delayed until the appropriate technique is mastered. Briefly describe the method(s) to be utilized. Indicate clearly the contributions of the student and the mentor(s) to this research project. Limit this proposal to 500 words or less.

All Previous Support

Describe all previous support for research, with dates of support and the involved mentor.

Agreement (Required)

agree to both: 1) that this form was submitted by the student, and 2) to present at Research Day in the following year if this support is awarded. In order to participate in the SRP, you must agree as indicated here.