Qualtrics Survey | Qualtrics Experience Management

2025 SMRF Mentor Application

Student Name (add all student names if you are mentoring more than one student)

Mentor Name

Mentor Title

Mentor Department

Mentor E-mail

Mentor Phone

I certify that I have read the student’s proposal, that I am willing to advise the student over the project time period, and that

I will provide the resources, space, facilities, supplies, time, and personal commitment needed for its successful completion.
I will assist my student with IRB if applicable.
I will assist my student with their research poster design and printing.

Sign Here

clear