396 Undergraduate Research Project Application Form

INSTRUCTIONS - PROFESSORS: Fill out Sections A & B then submit this form online. (You will receive an email copy of the form. The Office for Undergraduate Research in Science will also post the project online, indicating whether the project is open for students to apply or taken.) DONE
INSTRUCTIONS - STUDENTS: You may receive this form by email, or you may download it after it has been posted. Either way, print this form. Complete and sign Section C on the hardcopy. Ask your supervisor to sign Section D. Take it to the department corresponding to the course number in Section A (this may or may not be your own department). Do not register for a '396' course on Minerva until you receive departmental permission.
INSTRUCTIONS - DEPARTMENTS: After the unit chair/director/designate approves (or not) this project, notify student. If approved, please give student permission to register on Minerva, and fax this form (with signatures) to the Office for Undergraduate Research in Science at 514-398-8102.
QUESTIONS OR FEEDBACK? Contact Victor Chisholm by email, or phone 514-398-5964.
SECTION A: SUPERVISOR INFORMATION
Name: Miguel N. Burnier, Jr
Email: miguel.burnier [at] mcgill.ca
Phone: 514-398-3456 x 3
Website:  
Supervisor's department: Anatomy and Cell Biology
Supervisor's department (if none of the above)  
Course number: ANAT396 (Anatomy and Cell Biology)
SECTION B: PROJECT INFORMATION
Term: Fall 2009-2010
Project start date: September 1, 2009
Project end date: November 27, 2009
Project title: Investigation of NCoR function in retinal development
Project description: The project will involve the student's participation in cell culture and in vitro-based assays.
Prerequisite: Other: please specify below
Other prerequisite, if applicable: Permission of instructor
Grading scheme (The final report must be worth at least 50% of final grade): Final report 50% + participation 50%
Other project information:
Project status - This project is: Taken; however students may contact the professor to discuss other possible '396' projects this term.
How students can apply: Other
If other, please specify: Contact by email
Ethics, safety, and training
Which of the following, if any, is involved? None
Animal subjects [ ]
Human subjects [ ]
Biohazardous substances [ ]
Radioactive materials [ ]
Handling chemicals [ ]
Using lasers [ ]
Supervisors are responsible for the ethics and safety compliance of undergraduate students.
SECTION C: STUDENT INFORMATION
Do not complete this section unless/until the student is identified.
Name:
McGill ID:
Email (first.last [at] mail.mcgill.ca):
Phone:
Program (E.g., B.Sc. Maj. Chem. Min. Biol.):
Level (U0 / U1 / U2 / U3):
Student signature - I have not applied for another '396' course in this term:  
SECTION D: APPROVALS.
Do not complete this section unless/until the student is identified.
Supervisor: I give my permission for the student identified in section C to register for this project under my supervision.
Supervisor's signature:  
Date:  
Unit chair/director/designate: I certify that this project conforms to departmental requirements for 396 courses.
Unit chair/director/designate's name:  
Unit chair/director/designate's signature:  
Date: