MENTOR SELECTION FORM FOR STUDENT CHANGING LABS Preview on Page 1

MENTOR SELECTION FORM FOR STUDENT CHANGING LABS 2026

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  1. Click ‘Get Form’ to open the MENTOR SELECTION FORM in the editor.
  2. Begin by entering your name in the designated field at the top of the form. Ensure you print clearly for legibility.
  3. Next, input the date of completion in the provided space.
  4. List the names of faculty members you rotated with, along with their respective dates. Use clear printing for each entry under 'Rotation 1' and 'Rotation 2' if applicable.
  5. Identify your choice of mentor and theme affiliation by filling in the corresponding fields. Make sure to print clearly.
  6. Sign and date where indicated as both student and mentor, ensuring all signatures are completed before submission.
  7. Finally, ensure that all required signatures from department chairs and theme directors are obtained for final approval.

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