Laboratory Research Rotation Summary Form

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Laboratory Research Rotation Summary Form

This form must be completed following completion of a laboratory research rotation.

The student is expected to consult with their rotation mentor prior to completing and submitting this form.

Once this form has been submitted by the student, it will be forwarded to the rotation mentor for confirmation.

Student Name

(please provide full name)

Current Academic Program:

Laboratory

Laboratory Supervisor

Laboratory Location

Laboratory Phone

(provide full name of laboratory head)

(provide full name of laboratory supervisor
who directly supervised the student,
if different from laboratory head)

(provide building and room number)

(provide phone number)

Rotation Start Date

Rotation End Date

Average Hours
per Week

,

,

(provide average hours per week
which were spent in the laboratory)

Topic of Rotation

(one or two sentences):

Techniques Learned / Employed

(one or two sentences):

Description of Rotation

(a brief paragraph outlining the nature of the research rotation and objectives which were accomplished ):

Student's Signture

Student's E-Mail

(type full name)

Student Name

Current Academic Program:

LaboratoryLaboratory Supervisor

Laboratory Location

Laboratory Phone

Rotation Start Date

Rotation End Date

Average Hoursper Week

Topic of Rotation

Techniques Learned / Employed

Description of Rotation

Student's SigntureStudent's E-Mail

Today's Date

Laboratory

Laboratory Supervisor

Average Hours
per Week

Student's Signture

Student's E-Mail