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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.