CH4990/CH4995 Enrollment Form

If you see this don't fill out this input box.

Full Name *

M Number *

Michigan Tech Email *

Phone *

Have you previously been enrolled in CH4990/CH4995? *

Yes

If yes, list your research advisor(s) below.

Check one *

This is a continuing project.

This is a new project.

Semester for which you are enrolling: *

Course Registration Number (CRN) *

The CRN # can be found through Banweb.

Check one course: *

CH4990

CH4995

If you wish to enroll in CH4995 and your major is biochemistry and molecular biology, your advisor must be 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. *

I agree