Register as an Undergraduate Researcher
Researcher Information
Please select your affiliation to the University of San Diego
Please select...
USD Undergraduate
Visiting Undergraduate (Outside College/University)
Visiting High School Student
First Name:
Last Name:
USD ID#
Email:
Will you be graduating this spring term?
Yes
No
Institution Name:
Anticipated Graduation Date (Please enter as mm/yyyy)
High School Name:
High School Anticipated Graduation Date (Please enter as mm/yyyy)
Please upload your signed
Liability Waiver/Minor Consent Form
:
Will you be funded to conduct this research/project or will you be an unpaid volunteer?
Paid
Volunteer
Volunteer Acknowledgement:
I acknowledge that I am volunteering in a research space that has already “hired” all the student researchers it has budgeted for and my volunteer position is above and beyond what the research mentor can “hire" for pay.
High School Volunteer Acknowledgement
I acknowledge that I am volunteering as a researcher at the University of San Diego. As a volunteer, I do not have any expectation or contemplation of pay in exchange for my volunteer service and understand that I am not an employee of the university. To the extent funds are provided to me through an outside grant for high school students, I agree and understand that I remain a volunteer of the university and that the funds are provided to support my personal educational experience. I am volunteering because of my interest in supporting the University of San Diego and its mission.
Please select your funding sources:
PURE
SURE
NSF REU
McNair
Beckman
Hinman
Hayes
Changemaker
Honors
Other
PURE, Year(s) awarded
SURE, Year(s) awarded
McNair, Year(s) awarded
Beckman, Year(s) awarded
Hinman, Year(s) awarded
Hayes, Year(s) awarded
Changemaker, Year(s) awarded
Honors, Year(s) awarded
NSF REU, Year(s) awarded
Other, indicate year and funding source
Is this research part of a program?
Yes
No
Program Name:
Director Name:
Director Email:
Select the term(s) you will be doing this research project (select all that apply)
Fall
Winter
Spring
Summer
Select the academic year you will be doing research:
Please select...
17/18
18/19
19/20
20/21
21/22
22/23
Will you be living on campus during the time you will be conducting the research?
Yes
No
Please complete the following forms and upload them below. All forms can be found at:
http://www.sandiego.edu/ugresearch/students/research-scholars.php
Medical/Emergency Contact Information Sheet form upload
Assumption of Risk and Release of Liability form upload **Minors, Be sure to have your parents sign this form**
Consent and Release form upload
Proof of Medical Insurance (National and International
Proof of Ability to Work in the US (International Only)
Highest degree interested in attaining:
BA/BS
MA/MS
PhD
MD/PhD
MD
Other Professional
Career Objectives (select all that apply) :
Academic (Research focus, some teaching)
Academic (Teaching and Research)
Academic (Teaching only/K-12 or Community College)
Government
Industry
Other
If you selected other professional, please specify:
Please list:
Research Project Information
Research Title:
USD Mentor:
USD Mentor Email:
USD Mentor Dept:
Proposed Research Start Date:
Proposed Research End Date:
Is this a group project?
Yes
No
Will any part of your research be conducted off campus?
Yes
No
Off-Site Location of Research:
Number of days or weeks you will be off site:
Is this an ongoing project?
Yes
No
Please specify the number of semesters you have been working on this project:
Please upload your Research Ethics and Integrity/RCR certificate - Training is mandatory. Complete online and upload certificate of completion. If you have already completed the training you do not have to do it again, only upload your existing certificate. RCR Registration and Training:
http://www.sandiego.edu/ugresearch/students/research-scholars.php#accordion6
Have you completed any of the following trainings? (select all that apply)
Human Subjects (IRB)
Animal Subjects (IACUC)
None
Please upload your IRB certificate:
Please upload your IACUC certificate:
IRB and IACUC may be required if you are working with human or animal subject. Please consult with your research mentor to determine if you need to complete the additional trainings.
Acknowledgment & Submission
By submitting this application, you are also stating that you understand that your information will be maintained be the Office of Undergraduate Research and will used for reporting purposes. Any data used will be aggregated so that individual privacy will be maintained in all reports, publications, or presentations.
Contact Information