Medical Student Research Scholarship Change in Project Form

Occasionally in research, timelines and methods need to be adjusted for a variety of reasons. The Medical Student Research Office understands how fluid research can be and wants to be made aware of changes from your original application’s protocol.

If you or your mentor realize you will need: an extension from your original end date, to change your methods, specific aims, duties, or hypotheses on your project, please complete and submit the following form as soon as possible.

Projects are permitted to continue into the next academic year. We understand that your time in the lab will be limited significantly due to your increased course load. This request must be submitted in conjunction with your mentor so they have approved the proposed changes.

Should you or your mentor have any questions, please do not hesitate to contact the office at research.education@osumc.edu.

1. Student Name *This question is required.

2. Student E-Mail Address *This question is required. This question requires a valid email address.

3. Mentor Name *This question is required.

4. Mentor E-Mail Address *This question is required. This question requires a valid email address.

5. Nature of Request (indicate all that apply and elaborate on the next page) *This question is required.

Extension of project end date
Change in specific aims
Change in methods
Request to return funds
Change in student duties/responsibilities
Change in hypotheses
Change in project (must be approved by MDSR office prior to submission)