USCLAP Project Submission Form (FA22)

Project Title:

First Name (corresponding author):

Last Name (corresponding author):

College/University Name:

Email Address (Primary Contact):

Telephone Number:

Faculty Sponsor:

Faculty Sponsor Email Address:

Faculty Sponsor Phone:

List Additional Co-Authors and Email (e.g. Last Name 1, First Name 1 - Email 1; Last Name 2, First Name 2 - Email 2):

Which of the following best describes the course in which you conducted this project?

Please provide the title of the course

Please provide the prerequisites (course # and title) for the course