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Research contract

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Research contract

  1. 1. Research ContractKingdom of Saudi ArabiaNational Guard – Health AffairsKing Abdullah International Medical ResearchCenter (KAIMRC) -WR5th RESEARCH SUMMERSCHOOL 2013Participant-Supervisor Contract (PSC)To be completed by the Biomedical Student and approved by the SupervisorDate:Type: Faculty Initiated Student InitiatedSTUDENT DETAILSName of Student:(Surname) (First Name)Student ID Number:Phone: Email:PRIMARY SUPERVISOR DETAILSName of Supervisor:(Surname) (First Name)Title: Specialty:Phone: Fax: Email:Department:Institution: City:SECONDARY SUPERVISOR DETAILSName of Supervisor:(Surname) (First Name)Title: Specialty:Phone: Fax: Email:Department:Institution: City:
  2. 2. Research ContractPROPOSAL DETAILSWord range: 200 – 300 wordsTitle:Objectives: (List primary and secondary objectives)Methodology: (Provide a plan of design, implementation and analysis)Research significance: (How will the proposed research contributes to science?)Education Rationale / Personal and Professional Development: (Why did you choose this topic, andhow will this contribute to your personal and professional development?)
  3. 3. Research ContractLOGISTICSNumber of students involved:Name and Student ID # of the other student:(If more than one student involved)Time required:Starting date: Completion date:Location: Medical record archive department.Work plan: (Provide a detailed plan in terms of tasks to be done and time needed for each)SIGNATURESStudent’s Signature: Date:Supervisor’s Signature: Date:Comments (if necessary):Comments (if necessary):

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