UROP

Student Research Interest Form * Required Information

Thank you for your interest in undergraduate research and creative projects! Please complete this form to tell us about yourself and your research interests and goals. You will also have the opportunity to request an appointment with one of our Research Counselors.

As you are completing the fields below, please capitalize only the first letter of names, proper nouns, and sentences. Do not type in all capitals.

First Name* Middle Initial Last Name*

Student ID*
If you do not have a UCI Student ID, input 0 (zero)

Major*

Additional Majors, If Applicable

Expected Graduation Date*

Education Goals BS/BA MS/MA Ph.D. MD JD Other
If Other, please indicate:

Career Goals

Research Goals

What types of opportunities are you interested in?* (Check all that apply)

On-campus Off-campus (academic year) Off-campus (summer)

Select up to three areas of research that you are most interested in pursuing*

Please elaborate on your research interests and any prior research experience, as applicable

Contact Information
Please provide us with your current contact information.

Street Address*

City* State* Zip*

Phone Number*
Format: (999) 999-9999

UCI E-mail Address *
If you do not have a UCI E-mail Address, please input "none."

If you prefer we contact you at a different E-mail address, please provide an alternate:

Scheduling Information

Would you like to schedule an appointment with a Research Counselor?

If you would like to meet with a UROP Research Counselor and you do not already have an appointment scheduled, please tell us what days and times you are available. Sessions are typically a ½ hour. Check all available times by day.

9:00

9:30

10:00

10:30

11:00

11:30

12:00

12:30

1:00

1:30

2:00

2:30

3:00

3:30

4:00

4:30

Survey Information

How did you hear about UROP?
If "Other", please indicate:

What Happens Next?

Double-check that your information is correct, and then click the Submit button below. After submitting your form, you will receive an e-mail confirming receipt of your information. This e-mail will also provide you with a link to your Personal Research Profile where you can view and change your information. Your profile will also provide you with a list of current on- and off- campus opportunities that most closely match your research interests. You will also be able to access resources that will help you in meeting your research goals.

If you requested to meet with a Research Counselor, a member of the UROP Team will contact you within 48 hours to confirm your appointment time.

We wish you great success in your research endeavors and look forward to supporting you along the way!

Double-check that your information is correct,
then click the Submit button.