SURF Agreement to Fulfill Program Requirements

(for the student and for the research supervisor)

For the Student:

EAST SURF awards are dependent upon your agreement to fulfill each of the following program requirements. Indicate your agreement by placing your initials on each line:

__________ I will participate in the EAST Summer Undergraduate Research Program for eight weeks during summer 2004. I plan to conduct research full time (about 40 hours per week) as directed by my research supervisor.

__________ I am registered as a full- or part-time student in good academic standing, and I will be a full- or part-time student through at least the fall 2004 semester.

__________ I agree to provide EAST staff with a written report of my summer research work and research results by October 1, 2004.

permainanonlinegratis.net __________ I agree to acknowledge EAST in all publications and presentations resulting from this fellowship and to provide EAST staff with copies of all publications or conference abstracts.

__________ I agree to share my research at my college's/university's student research conference, if applicable.

__________ I agree to share my research/receive recognition at EAST's annual Day of Celebration (meals and mileage reimbursement provided).

__________ I agree to participate in evaluation activities around EAST.

I agree to fulfill all of the above program requirements, and I certify that all information provided in this application is accurate and complete.

Student's Name (printed): _________________________________________

Student's Signature: _________________________________________

Date: _________

For the Research Supervisor:

Indicate your agreement by placing your initials on each line:

__________ I agree to provide direction and supervision to ________________________ as an EAST Summer Undergraduate Research Fellow during summer 2004.

__________ I agree to participate in evaluation activities around EAST.

Research Supervisor's Name (printed): ________________________________________

Research Supervisor's Signature: ______________________________

Date: _________

Mail or FAX with rest of application pages to:

Nancy Lightbody
EAST
University of Southern Maine
Lewiston Hall, Building 4
60 Pineland Drive
New Gloucester, ME 04260-5113
FAX: (207) 688-4036