Clarkson University: Summer Research Application

Full Name *	Student ID Number

Graduation Year	CU Box Number

E-mail	Local Telephone

Major	Research Advisor

Briefly describe your reasons for applying for honors summer research.

You must complete the following before the Honors Program can determine if you are eligible to receive housing and a meal stipend
Arrival Date (summer housing begins 5/18)	Departure Date (summer housing ends 8/3)

Have you already made housing arrangements?	If so, where will you be living
Yes No
Who is your mentor?	What date does your research work begin?

Is your research for your Honors thesis?	Is this a paid position?

Approximately how many hours a week will you be working on research?

Are you doing research for another program, organization, or individual (i.e. REU, McNair)?
Yes No
If so, what program, organization or individual?	Is this a paid position?

Will you be presenting your research at any other conference besides the SURE conference?
Yes No
If so, what conference?

Will you be taking summer school classes?	If so, which session?	How many classes?
Yes No	I II
Do you have a summer job besides research?	If so, where?

Approximately how many hours a week will you be working at your summer job?