Research Agreement Form

Fill out the following form for conducting research on campus.

*Name

*Organization
Address
City
State/Zip
Phone Number
E-mail
Title of proposed research project:
Brief statement of purpose of the project:
Duration of project: begin date:



I, , do hereby affirm that I have read the United Tribes Technical College manual of Research Policies and that I understand the contents.  Further, I agree to adhere to the principles and policies contained within this manual and to seek further clarification from the Office of Research and Resource Development in case of any discrepancies, oversights or questions.

Signature
My electronic signature indicates that I have read, understand, and accept all terms contained in this agreement. It also states that all information I submit is my own and factually correct.

Date

* - Required fields