Please make sure you have all the information for each field prior to filling out the form. You will not be able to save and resume.

Mentor/Principal Investigator: Your Name, Department/Division, email and phone number

Administrative Contact: Their name, email and phone

Project Information

  • Project Title
  • Assistant Mentor Name & Contact Information
  • Project Category
  • Project Approval Status (IRB, IACUC and IBC)
  • Brief background and rationale on the project
  • List of relevant articles from literature review
  • Brief description of the project objectives
  • How the project will be conducted (virtually, hybrid, etc.)
  • Information on prior training or skills the scholar must have

Scholar Training to be Completed (Yes or no questions): See questions below