Faculty Project Advisor Reference Form for Stanley Undergraduate Award Applicants

Faculty Information

First Name *

Last Name *

Department *

Email Address *

Name of student applicant *

Please complete the following section

I will directly supervise this student’s research in the destination country while he/she is abroad. *

Yes

I will be available for email consultation during at least four of the weeks that the student is in the field. *

Yes

I will be working with the student upon his/her return to the University of Iowa. *

Yes

International Programs Stanley Award Human Subjects Research Faculty Project Advisor Form

(Faculty may consult the International Programs webpage regarding IRB Review: http://international.uiowa.edu/funding/irb-review-steps [1])

The above student and I have thoroughly discussed his/her research project. I have advised the student of his/her responsibilities. I understand that I, along with the student, am ultimately responsible for compliance with federal and University regulations concerning human subjects research.

I have determined, to the best of my ability, that this project: *

will not require IRB approval

will require IRB approval

Confidential Letter of Recommendation

Please indicate your reasons for recommending this student for a Stanley Undergraduate Award below. The review committee will value your candid assessment of:

the student’s academic accomplishments;
the merit and feasibility of the current proposal;
the student’s academic, linguistic, cultural, and personal preparation; and
his/her promise for future success in an academic or professional career.

Also:

Please indicate how long and in what capacity you have known the applicant and
outline your proposed working relationship with the applicant for this project.

Letter of recommendation upload *

Faculty Electronic Signature *

Date *

Year

Month

Day