ࡱ>  hbjbjjj .tdd5  8O<H_%%%%LGGGGGGG$JsMrGy y y G%%H###y v%%G#y G##nCF%@~ @D GH0HDM/!xM@FMF|#dbGG"Hy y y y M :  Application to Enroll in a Science Project Notes: This application is to be filled out by students who are interested in enrolling in one of Athabasca Universitys science project courses, i.e. BIOL 495 or 496, CHEM 495 or 496, ENSC 495 or 496, or SCIE 495 or 496. Each course is worth 3 credits. Before filling out this form, students should first read the relevant syllabus, detailed course description, and samples of completed projects. Students should ensure that they have completed the appropriate prerequisites. Students must complete the appropriate 495 courses before enrolling in any subsequent 496 courses. Before students will be allowed to register in any of these project courses, the appropriate Course Co-ordinator must approve this application. This application may be mailed, faxed or e-mailed to this person. For mailed or faxed applications, please print or type. Return this application to the appropriate Course Co-ordinator. Dr. Farook Al-Shamali is responsible for ASTR 495/496 and PHYS 495/496 (farooka@athabascau.ca). Dr. John Ulici Petrut is responsible for BIOL 495/496 (johnup@athabascau.ca). Lawton Shaw is responsible for CHEM 495/496, ENSC 495/496 and SCIE 495/496 (lawtons@athabascau.ca). Dr. Kennedy Munyikwa is responsible for GEOL 495/496 (kenm@athabascau.ca). Dr. Frederique Pivot is responsible for GEOG 495/496 (fpivot@athabascau.ca). Dr. James Greenwood-Lee is responsible for MATH 495/496 (jgreenwoodlee@athabascau.ca) Dr. Norman Temple is responsible for NUTR 495/496. (normant@athabascau.ca) A. Course Information Name of course applied for (choose one): ASTR 495/496 - Astronomy and Astrophysics Projects BIOL 495/496 - Biology Projects CHEM 495/496 - Chemistry Projects ENSC 495/496 - Environmental Science Projects GEOG 495/496 - Geography Projects GEOL 495/496 - Geology Projects MATH 495/496 - Mathematics Projects NUTR 495/496 - Nutrition Projects PHYS 495/496 - Physics Projects SCIE 495/496 - Science Projects B. Student Information 1. Name Usual first and last  FORMTEXT       2. Athabasca University Student Identification Number Prospective students in these courses can make this application without first being an Athabasca University student.  FORMTEXT       3. Address Street or P.O. box number  FORMTEXT       4. City/town  FORMTEXT       5. Province/state  FORMTEXT       6. Postal Code  FORMTEXT       7. Telephone number Include area code  FORMTEXT       8. Best times to contact by telephone The Course Coordinator usually has to discuss the application with each prospective student. This is easiest done by telephone.  FORMTEXT       9. E-mail address Please clearly differentiate between numbers 0 and 1 and letters o and l.  FORMTEXT       10. General background and educational goals For example, finishing up a B.Sc., transferring last few credits to another university  FORMTEXT       11. Completed university-level science courses Name, number of credits, institution, year completed. A copy of a transcript may be attached instead. Check the specific course prerequisites in the course syllabus.  FORMTEXT       C. Proposed Project 1. Specific problem to be solved, question to be answered, or topic to be discussed See course description and samples of completed projects.  FORMTEXT       2. Methods to be used For example, library research, experimentation, field work, data bases, interviews, statistical programs.  FORMTEXT       3. Materials to be used. For example, books, periodicals, chemicals, computer programs, organisms, equipment. It is the student s responsibility to acquire and pay for necessary materials.  FORMTEXT        4. Proposed outcomes. For example, written report, geological map, chemical product, computer program, plant collection, genetic pedigree.  FORMTEXT       D. Project Supervisor 1. Proposed Project Supervisor See Course Description. A student must identify a potential Project Supervisor. A student must also contact this person and obtain their tentative ag.w    3 l w x  0 i m   #>BCJL󤝤󙑙 h 5\ h CJhy#hy#>*hy# h58Oh54 hy#h  h54>*h h >* h >*aJ h-h- hy#>* h~>*h6h >*h[0/ h[0/>*aJ hg)>*aJhg) h >*h jh U0./081 s }    #L1U^gd ^gdBy & Fgd- & Fgd gd $a$gd gd gd Uw $Ifgd  & F gd gd gd ^gd  hjl  &(<>@JLRvx68j h Uj% h Uj2h U h CJj?h UjLh Ujh UmHnHujYh Uh jh U h CJh 5CJ\8j $Ifgd  & F gd gd gd ^kd$$Ifl,""064 layt  $Ifgd  & F gd gd ^kd$$Ifl,""064 layt   &NP5^kd$$Ifl,""064 layt  $Ifgd gd ^kd$$Ifl,""064 layt PRvgd ^kd $$Ifl,""064 layt  $Ifgd gd 8` $Ifgd  & F gd gd gd ^kd $$Ifl,""064 layt 8:NPR\^`bdX $ľ󔋔~ h >*CJ h CJh 5CJ\h 5CJ\j h Uj h Uj h U h CJ h CJ h 5\h 5CJ\jh UmHnHuj h Uh jh U.`bd $Ifgd  & F gd gd gd ^kd $$Ifl,""064 layt  $Ifgd  & F gd gd gd ^kdt $$Ifl,""064 layt  $Ifgd  & F gd gd gd ^kdg $$Ifl,""064 layt X$~ $Ifgd  & F gd  & F gd gd gd ^kdZ$$Ifl,""064 layt  468BDFJtHJL`bdnptv   J68:NPR\^hžڳڬŬڡڬŬږڬŬڋjh Ujh Ujh U h 5\jh U h >*CJ h CJh 5CJ\ h CJ h jh UmHnHujh Ujh U6F $Ifgd  & F gd gd gd ^kdM$$Ifl,""064 layt  FHJvJr $Ifgd  & F gd gd ^kd@$$Ifl,""064 layt rtv $Ifgd  & F gd gd ^kd3$$Ifl,""064 layt  N8` $Ifgd  & F gd gd ^kd&$$Ifl,""064 layt `bdfhHLpL $Ifgd  & Fgd gd gd ^kd$$Ifl,""064 layt   LFLHLJL^L`LbLlLnLrLtLLL\M^MNNNNNN(N*N.N0NN0O2O4OHOJOLOVOXO\O^OOOOOPPPPPPPPQQQ伳伳伳joh Uj|h Ujh Uh 5CJ\ h 5\jh UmHnHujh Ujh Uh U h >*CJ h CJh 5CJ\9reement to be a Project Supervisor.  FORMTEXT       2. Expertise of proposed Project Supervisor in the area of study That is, educational qualifications and experience. At minimum, a Project Supervisor must have a masters degree in the area of study.  FORMTEXT       3. Postal address of proposed Project Supervisor Street or post office box number, city or town, province or state, postal code.  FORMTEXT       4. Telephone number of proposed Project Supervisor Include area code.  FORMTEXT       5. Best times to contact of proposed Project Supervisor by telephone The Course Coordinator has to discuss each application with the prospective Project Supervisor. This is easiest done by telephone.  FORMTEXT       6. E-mail address of proposed Project Supervisor Please clearly differentiate between numbers 0 and 1 and letters o and l.  FORMTEXT       E. Time Schedule 1. Expected project start date (Usually it takes at least a month between receipt of a completed application andpLrLtLL`MN,N $Ifgd  & Fgd gd ^kd $$Ifl,""064 layt ,N.N0NN2OZO $Ifgd  & Fgd gd ^kd$$Ifl,""064 layt ZO\O^OOOP $Ifgd  & Fgd gd ^kd$$Ifl,""064 layt PPPPQQ $Ifgd  & Fgd gd gd ^kd$$Ifl,""064 layt QQQQQQQQQQ4RRRRRRRRRRS^STbLbNbPbdbfbhbrbtbxbzbbcc.dRdddeeeeeeeeeff˿j3h U h 6] h >*CJ h CJjBh UU h CJ jQh U h CJ h CJh 5CJ\ h 5\jh UmHnHujh Uj`h Uh 3QQQ4RRR $Ifgd  & Fgd gd ^kd$$Ifl,""064 layt RRRRRSSS^SNbvb $Ifgd  & Fgd gd gd gd ^kd$$Ifl,""064 layt  the student enrolling in the course.)  FORMTEXT       2. Expected project completion date Athabasca University allows students six months to complete a 3-credit course. Student loans usually restrict students to four months. For these courses, the Learning Contract (see Course Description) usually takes between 4-6 weeks before a student can start work on a project. These courses normally take a great deal of time; allow plenty of lead and completion times.  FORMTEXT       3. Date submitted  FORMTEXT       4. Student s signature By submitting this application, the student certifies that the included information is truthful and accurate. Submission by postal mail or fax must include a signature. Submission by e-mail must include sufficient identification information.  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