Your Name:
*
First Name
Last Name
NSHE ID (Student ID Number):
*
Email:
*
example@mail.tmcc.edu
Phone Number:
*
Please enter a valid phone number.
Format: 000-000-0000.
Have you participated in undergraduate research at TMCC before?
*
Yes
No
I would like to participate in research during the following term(s):
*
Summer 2026
Fall 2026
Which project(s) or mentor(s) would you like to work with?
*
List up to three projects/mentors.
Describe your interest in participating in research and how it might relate to your long-term goals:
*
Provide 1-2 professional references:
*
For each reference, please list the reference's full name, email and/or phone number, and how they know you. These references should come from people who can speak to your work ethic and reliability (e.g., a supervisor, instructor, etc.)
How would you like to work on this project?
*
Remote only
In-person only
Either remotely or in-person
I'm not sure
How many credits are you currently enrolled in at TMCC?
*
Are you over the age of 18 at the time of completing this survey?
*
Yes, I am over 18 years old
No, I am not over 18 years old at this time
What is your US citizenship status?
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I am a US Citizen
I am a Permanent US Resident (have a Permanent Resident Card)
I am not a US Citizen nor do I have Permanent Resident status
Are you currently working for TMCC or any other Nevada System of Higher Education (NSHE) institution?
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Yes
No
Have you ever worked for TMCC or any other Nevada System of Higher Education (NSHE) institution?
*
Yes
No
Please list your other NSHE jobs:
*
Include your job, NSHE campus (TMCC, UNR, etc.), and the number of hours per week you work for each job listed.
What is your planned major?
*
Do you have anything else you would like to share or any additional questions regarding this opportunity?
Please verify that you are human:
*
Sender Name:
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