CH4990 / CH4995 Enrollment Form

You must complete this form each semester that you enroll in undergraduate research credits.

The form must be completely filled out before sending.

Full Name:
Birth Date:
Michigan Tech Email:
Have you previously enrolled in CH4990 / CH4995?
If yes, who was(were) your research advisors?
Check one:
Semester for which you are enrolling:
Course CRN#:
 * The CRN # can be found through BanWeb.
Check one:
 * If you enroll in CH4995 (biochem majors), your advisor must be Dr. P. Murthy, Dr. M. Thompson, Dr. A. Tiwari or Dr. T. Dam.
Research advisor:
Number of credits (1-6):
Brief description of your intended project (after you have discussed it with your research advisor):
By submitting this form, you are declaring your intent to enroll in CH4990 or CH4995 for the semester and credits specified.
You will receive an email with further instructions.