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NAME & ADDRESS
Last Name:
NESL E-Mail:
Home Phone:
Office Phone/ Ext.:
STUDENT STATUS

Division:




 
Narrative Description of Proposed Study:


Break down of approximate minimum hours to be spent on research, writing, and tutorial:


Proposed Schedule Dates: (1st draft, 2nd draft ... Final draft, etc.)


Number of credits presented for consideration:    



*Do not submit this form until the named faculty member has agreed to supervise the project.

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