MSRP Student Project Proposal Form 2024 MSRP Project Proposal Form PrerequisiteSuccessful completion of first year and submission of final project proposal application due by April 1, 2024 REQUIREMENTS• Contact a faculty mentors to discuss the project background, specific aims, and role of the student. • Submit a brief proposal outlining your project. • Work with your mentor to ensure the required regulatory approvals (IRB/IACUC) are obtained early in the process. ALL REQUIRED TRAINING MUST BE COMPLETED BEFORE RESEARCH COMMENCES. • Submit mid-project progress report, due July 14, 2024. • Submit a final progress report, due August 11, 2024. • Present your research at the MSRP Symposium (March 2025) Student InformationName* First Last UF Email Address* Local Summer Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Student UFID Number* Faculty Mentor InformationFaculty Mentor's Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Faculty email* Faculty UFID Faculty Department* Research ApprovalIRB-01* Approval needed Already approved/student will be added Already approved/ student already added Not applicable to this project IRB-02* Approval needed Already approved/student will be added Already approved/ student already added Not applicable to this project IACUC* Approval needed Already approved/student will be added Already approved/ student already added Not applicable to this project If your project does not require IRB or IACUC please explain below (literature review, quality improvement, etc.)*Submit training certificates (as applicable): – Human Research (Course: IRB 803) – Animal Research (Course: Working with the IACUC)*Max. file size: 125 MB. Does this project contain an INTERNATIONAL component?* Yes No If yes please upload your pre-departure training, CISI and travel registration screenshotsMax. file size: 125 MB.Project InformationTitle of Project:* Background and significance*Please describe in 2-3 paragraphsHypothesis and rationale*1 paragraphSpecific Aims*1 paragraphMethods*2-3 paragraphsPlan for data analysis*1-2 paragraphsRole of Medical Student*1 paragraphReferences*5-10 citationsList List List