Activate an optimized version of the page designed specifically for screen readers.
MSU-CHM Research Mentor Information Form
Mentor/Researcher email address
Mentor/Researcher phone number
Organization(s) / Institutions(s) at which research is being conducted
Please provide a brief description of your research.
Please include a description of the types of activities students will get involved in during this project.
Please provide websites or links that may describe your background, research interests, or specific projects
Please select campus(es) at which students can assist with your research.
(Click all that apply)
UP / Marquette
IRB approval status of project(s) what will involve student assistants
IRB approval pending
IRB application not done / not submitted
IRB approval not required
Please indicate a preference for the type of student you would like to work with.
1st year student
2nd year student
Clinical student (3rd or 4th year)
Most students get involved in research during the school year, thus their time availability is often limited. Please estimate the number of hours per week a student would be needed to work in order to meet your productivity requirements.
(typically students are able to contribute anywhere from 2-10 hours per week)
CHM students are able to conduct research full time (40+ hrs per week) during summer break, during the Block III Research Elective (4 weeks, up to two electives per student) or when a student takes a year off of medical school. Would your research project be appropriate for any of these full time options? (check all that apply)
Block III elective (1 month clerkships)
Year off (may require external funding)
Please list any specific experience that may be necessary or preferred for your research project.
How would you like the CHM Office of Research to refer students to you?
Have Research Office staff email me with student info
Have Research Office contact my research coordinator with student information (enter coordinator email or phone number below)
Have student contact me directly
Have student contact my research coordinator directly (enter coordinator email or phone number below)
If you would like to attach papers or other documents, please click below.
Powered by Qualtrics