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Research Contract
Kingdom of Saudi Arabia
National Guard – Health Affairs
King Abdullah International Medical Research
Center (KAIMRC) -WR
5th RESEARCH SUMMER
SCHOOL 2013
Participant-Supervisor Contract (PSC)
To be completed by the Biomedical Student and approved by the Supervisor
Date:
Type: Faculty Initiated Student Initiated
STUDENT DETAILS
Name of Student:
(Surname) (First Name)
Student ID Number:
Phone: Email:
PRIMARY SUPERVISOR DETAILS
Name of Supervisor:
(Surname) (First Name)
Title: Specialty:
Phone: Fax: Email:
Department:
Institution: City:
SECONDARY SUPERVISOR DETAILS
Name of Supervisor:
(Surname) (First Name)
Title: Specialty:
Phone: Fax: Email:
Department:
Institution: City:
Research Contract
PROPOSAL DETAILS
Word range: 200 – 300 words
Title:
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, and
how will this contribute to your personal and professional development?)
Research Contract
LOGISTICS
Number 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)
SIGNATURES
Student’s Signature: Date:
Supervisor’s Signature: Date:
Comments (if necessary):
Comments (if necessary):

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Research contract

  • 1. Research Contract Kingdom of Saudi Arabia National Guard – Health Affairs King Abdullah International Medical Research Center (KAIMRC) -WR 5th RESEARCH SUMMER SCHOOL 2013 Participant-Supervisor Contract (PSC) To be completed by the Biomedical Student and approved by the Supervisor Date: Type: Faculty Initiated Student Initiated STUDENT DETAILS Name of Student: (Surname) (First Name) Student ID Number: Phone: Email: PRIMARY SUPERVISOR DETAILS Name of Supervisor: (Surname) (First Name) Title: Specialty: Phone: Fax: Email: Department: Institution: City: SECONDARY SUPERVISOR DETAILS Name of Supervisor: (Surname) (First Name) Title: Specialty: Phone: Fax: Email: Department: Institution: City:
  • 2. Research Contract PROPOSAL DETAILS Word range: 200 – 300 words Title: 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, and how will this contribute to your personal and professional development?)
  • 3. Research Contract LOGISTICS Number 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) SIGNATURES Student’s Signature: Date: Supervisor’s Signature: Date: Comments (if necessary): Comments (if necessary):