* Denotes Required Fields

Applicant Information

Your Name (Last, First Middle) *

Your Student ID *

Your Email (netid@uvm.edu) *

Phone *

UVM Address

Street Apt#

City State

Zip

Permanent Address

Street Apt#

City State

Zip

Major *

Department in which your Honors Project wil be pursued *

Overall GPA *

Project Title *

Thesis Supervisor Information

Name *
Department *
Email Address *

Arts and Sciences Co-Thesis Supervisor Information (if student's thesis supervisor is outside of Arts and Sciences)

Name
Department
Email Address

Does your work involve human subjects? *
Yes
No

Does your work involve vertebrate animals?*
Yes
No

Does your work involve biological samples?*
Yes
No

Does your work involve recombinant DNA?*
Yes
No

If yes to any of the above, please continue reading. If no, then skip to the bottom and submit this form.\

By checking this box, I am certifying that I understand the following:

• My proposal must mention that my research involves human subjects, vertebrate animals, biological samples, or recombinant DNA.
• I must obtain certification from one or several of the research review Committees (IRB/IACUC/IBC) by contacting the Research Protections Office  (656-5040) before I begin my research.
• The CAS Honors Committee will only approve my proposal pending Committee (IRB/IACUC/IBC) certification.
• The Honors Committee must receive a copy of the research review Committee certification before data collection can begin.

Please see our Advice Regarding Honors Student Research page for advice regarding research as well as links to more information regarding the Institutional Review Board.

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