name! emailaddress studentid# - nc state...

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Enter course number if you received class credit for your research:

Affiliation: NCSU

Provide a brief description of your research project:

Faculty Advisor/Mentor Name Email

Advisor/Mentor's signature and date if research was not for credit:

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Email  Address  Name   Student  ID  #

Please provide us with a non-NCSU email address where we can contact you to keep in touch. We will not share your email address with any other party.

lrschenk
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lrschenk
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lrschenk
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