MSSRP On-Line Preceptor Form

For up to three students

  • Faculty name/degree(s):
  • select one or more
  • Individual responsible for direct supervision of student (if other than preceptor).

  • Financial Information:

    The stipend for the 7-week program is $3,000. If your require co-funding by the SOM (up to $1,000), submit an email justification to ssw3an@virginia.edu. We can co-fund a single student per faculty member.

    The SOM will pay all summer session fees. Please do not promise a student position until you receive approval of requested partial support.


  • FINANCIAL CONTACT FOR THE PTAEOs LISTED BELOW


  • SUPPORT FOR STUDENT #1


  • SUPPORT FOR STUDENT #2


  • SUPPORT FOR STUDENT #3


  • BY CLICKING ON "SUBMIT" BELOW, YOU ARE:

    Agreeing to mentor the MSSRP student(s) described herein. This includes overseeing the design/execution of the project(s), providing appropriate environment and supplies, and collaborating on a work-in-progress and final report.

    Authorizing the SOM Office for Research to deduct payment from the PTAEO(s) listed above.

 

Students will contact you directly to discuss their participation on your project(s). Once you have selected one, s/he and you should complete a student for. The Office for Research will confirm all matches by e-mail.