Mentor Center@Shodor Home BWFund Evaluation Project Form Interview Application

Project Form

Please be careful with the spelling of interns names.

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Intern names or research group members
First Name
 Last Name
First Name
 Last Name
First Name
 Last Name
First Name
 Last Name
Mentor for this project (can be different from primary mentor):
Title of proposed project(s):
Brief project description:

Intern(s) -if more than one, please list - will develop or improve upon the following skills by project completion:
Final deliverable to be presented at project completion:
Estimated date of completion:
Resources to be used by intern to complete project (include staff helpers, other interns collaborating on project, references, etc.):
Final URL where intern work will be archived/made available:
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