Mentored Research Registration Form for Staten Island Campus Students

Individual students presenting research undertaken with a faculty mentor on April 6 should fill out the Mentored Research Registration for Staten Island Campus Students.

If you have any questions, please contact Robert Fanuzzi, Ph.D., Associate Provost at [email protected].

First Name

Last Name

Major

College

Student Status

Undergrad Status

Combined Degree Student Status

Title of Research Project

Abstract or Summary of Research

Name of Faculty Mentor

Title

First Name

Last Name

Name of Student Co-Researcher, if applicable

First Name

Last Name

Type of Research Project (check all that apply)

Course Assignment

Collaboration with or Contribution to Faculty Members' Research

Independent Study

Ozanam Scholar Independent Study

Ozanam Scholar Capstone Project

Academic Service-Learning Project