SURIP 2021 intent to participate

Faculty/Staff Name(Required)

First Last

Faculty/Staff Email(Required)

Faculty/Staff Department/Center/Office(Required)

Student #1 Referral

This form allows you to refer up to 3 students at once. Please enter the information for the first student you'd like to recommend. We will continue to conduct meetings with students -- over Zoom or phone -- during the coronavirus-required transition to online instruction.

Student Name(Required)

First Last

Student Email(Required)

Student Major(s)

Student Class Year(Required)

First Year

Second Year

Third Year

Fourth Year

Alumni

Briefly describe why you are recommending the student (interests, etc.)(Required)

Would you like to refer a second student?(Required)

Student #2 Referral

Student Name(Required)

First Last

Student Email(Required)

Student Major(s)

Student Class Year(Required)

First Year

Second Year

Third Year

Fourth Year

Alumni

Briefly describe why you are recommending the student (interests, etc.)(Required)

Would you like to refer a third student?(Required)

Student #3 Referral

Student Name(Required)

First Last

Student Email(Required)

Student Major(s)

Student Class Year(Required)

First Year

Second Year

Third Year

Fourth Year

Alumni

Briefly describe why you are recommending the student (interests, etc.)(Required)

The University of Tennessee, Knoxville

Undergraduate Research & Fellowships
Division of Student Success

Recommend a Potential Applicant

Student #1 Referral

Student #2 Referral

Student #3 Referral