Main Content Faculty Information Your Full Name (Last, First) Your UW Email Faculty Sponsor Name Faculty Sponsor First Name Faculty Sponsor Last Name Researcher Information Researcher Name Researcher's NetID Researcher's First Name Researcher's Last Name If your research is part of a course, please provide the course name and number (i.e. TBIOMD 495) Start Date of After Hours Lab Work End Date of After Hours Lab Work Emergency Contact Information Emergency Contact Name Emergency Contact First Name Emergency Contact Last Name Emergency Contact Phone Number Emergency Contact Relation (i.e. Mother, Spouse, Friend, etc.) Leave this field blank
