Undergraduate Visiting Student Researcher Program Application Form

This form must be submitted and complete at least 12 weeks prior your desired start date of a research position at McMaster University. It is the Undergraduate Visiting Student Researcher’s responsibility to identify, reach out and confirm interest of their McMaster supervisor. Please note that we cannot identify or contact supervisors on your behalf. Kindly refer to the McMaster Experts page as well as the relevant Faculty page as a possible starting point to identifying a suitable supervisor.

1) About you...

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Contact Information

Candidate First Name (as it appears on passport)

Candidate Middle Name (optional, as it appears on passport)

Candidate Last Name (as it appears on passport)

Sex (as it appears on passport)

Mailing Address

Country

Street

City

Region

Postal Code

Do you have a different Permanent Address from your current Mailing Address?

Yes

Permanent Address (If different from Mailing Address)

Country

Street

City

Region

Postal Code

What is your status in Canada?

Citizenship (Home) Country

Birthdate

Email Address (Personal)

Email Address (University)

Phone Number

Academic Information

Name of Home Institution

Program of Study

Degree Title

Faculty and Department

City and Country (i.e., Toronto, Canada)

Home Supervisor or International Officer Information

Home Supervisor First Name

Home Supervisor Last Name

Home Supervisor Email

Home Supervisor Phone Number

Home Supervisor Faculty and Department

Please check the box below to confirm that your Home Supervisor has reviewed all of the above information and has provided their signoff

By checking this box, I confirm that my Home Supervisor is aware of, and has agreed to all of the above information

2) Research Placement

Funding

Please Select your Funding Source

Please enter the name of the Government Scholarship Program

Please enter the following details for the McMaster faculty that is funding this research:
First Name, Last Name, Title, Faculty, Department

Enter the name of the program and a description of the funding program

Research Project Information

Below, you will enter the information for your "Host Supervisor". This is the McMaster faculty member whose research you are supporting. It is the Undergraduate Visiting Student Researcher’s responsibility to identify, reach out and confirm interest of their McMaster supervisor. Please note that we cannot identify or contact supervisors on your behalf. Kindly refer to the McMaster Experts page as well as the relevant Faculty page as a possible starting point to identifying a suitable supervisor. You may return to complete this section of the form once you have confirmation from your McMaster supervisor.

Host Supervisor First Name

Host Supervisor Last Name

Host Supervisor McMaster Email

Host Supervisor Phone Number

Host Supervisor Faculty and Department

Description of the research (objectives and responsibilities) and how this research placement relates to your program of study.

Please check the box below to confirm that your McMaster Host Supervisor has reviewed all of the above information and has provided their signoff

By checking this box, I confirm that my McMaster Host Supervisor is aware of, and has agreed to all of the above information

Location and Dates

Location(s) of the Research

In-Person Basis Start Date

In-Person Basis End Date

Remote Basis Start Date

Remote Basis End Date

3) Obligations and Responsibilities

Please review the following:

Ethics Approval and Safety Training Information

Ethics approval text

I agree to review the Ethics Approval and Safety Training Process with the host supervisor.

Student Code of Conduct Information

Please visit this link to view the Student Code of Conduct.

I agree to the Student Code of Conduct

Performing Research in Canada

Since McMaster University is in Canada, you must abide by the following:
Researching in Canada

I agree

4) Signoff

Student Information

Please enter your details below to confirm that the information above is accurate.

Click to Sign...

Date

Creating a Brighter World

Future Students

Undergraduate Visiting Student Researcher Program Application Form