ࡱ>  ,+bjbj&& 4DjDj!\lleeeeeyyy8$,yv VW""y"y"y"#L$d]%4[v]v]v]v]v]v]vyP|]ve%##%%]veey"y"4rvY(Y(Y(%Rey"ey"[vY(%[vY(Y(j4 py"&%Rl>Gvv0v#m}5&}| p pZ}egq%%Y(%%%%%]v]vM' %%%v%%%%}%%%%%%%%%l +: UROP: RESEARCH EXPERIENCE REGISTRATION FORM Not to be completed by hand Please read  HYPERLINK "/urop/what-is-urop/" participant eligibility before completing this form:  HYPERLINK "http://www.imperial.ac.uk/urop/what-is-urop" http://www.imperial.ac.uk/urop/what-is-urop  HYPERLINK "http://www.imperial.ac.uk/urop/how-to-get-involved/registration" Advice on completing the form, including timescales for submission:  HYPERLINK "http://www.imperial.ac.uk/urop/how-to-get-involved/registration" http://www.imperial.ac.uk/urop/how-to-get-involved/registration Personal Data will be managed with due regards to ýs HYPERLINK "/about/university-secretary/institutional-compliance-and-risk-management/information-governance/privacy-notices/"Student Privacy Notice or HYPERLINK "/about/university-secretary/institutional-compliance-and-risk-management/information-governance/privacy-notices/"Staff Privacy Notice as appropriate. Section 1 to be completed by the studentSurname/family nameFirst nameTitleNote: the following line need only be completed by Imperial College undergraduatesImperial College CIDDepartmentEmailNote: the following five lines need only be completed by non-Imperial College undergraduatesDate of birth (DD/MM/YYYY)GenderEmailNationalityHome University (include town/city, and country if not UK)Date you commenced your undergraduate degreeDate your undergraduate degree concludesYear of higher education to be completed in current academic yearHome university deptPlease state the title of the award aimed for (e.g. BSc, MEng, MBBS etc)[All Students]  HYPERLINK "http://www.imperial.ac.uk/urop/how-to-get-involved/registration" UROP Participants Declaration:  HYPERLINK "http://www.imperial.ac.uk/urop/how-to-get-involved/registration" http://www.imperial.ac.uk/urop/how-to-get-involved/registrationI, the above-named student, have read, understood and agree to the UROP Participants Declaration Important note for NON-Imperial College ý: attach your passport ID page, any relevant UK visa and a statement of registration/enrolment letter from your home university (covering the period up until at least the end of the planned UROP registration period at ý). Once a registration has been processed by Imperial the non-Imperial student will be required to enrol (as non-degree student) with Imperial by providing further personal data via Imperials My Imperial platform.Signed (student participant) write your name (or add a picture signature or equivalent)Date (DD/MM/YYYY)Section 2 to be completed by the UROP Supervisor (this is the named supervisor: see HYPERLINK "/urop/information-for-staff/"UROP Guidance for Staff)Name of UROP SupervisorDepartmentFacultyCIDEmail Topic of the UROP: please provide a brief title of the research experience to be undertaken by the student The supervisor confirms that the UROP which is proposed is a research experience that conforms with the general profile as outlined on the HYPERLINK "/urop/information-for-staff/"UROP website.YES  FORMCHECKBOX  If NO, please reconsider whether completion of this form is the appropriate process to follow (perhaps refer to your Depts administration for guidance).Names of individuals to be involved in providing additional day to day supervision (if relevant). See HYPERLINK "/urop/information-for-staff/"UROP Guidance for Staff for who can get involved in this capacity.Will the UROP involve colleagues who are based outside Imperial? If so, whom and from where?Please state the MODE by which the UROP will be undertaken. See HYPERLINK "/urop/information-for-staff/"UROP Guidance for Staff for further guidance. FORMCHECKBOX  On-campus ONLY FORMCHECKBOX  Hybrid FORMCHECKBOX  Remote ONLYImperial campus(s) on which an on-campus or hybrid UROP research experience will take place.A UROP can include managed time off campus (following Imperials off-site working protocols). Will this UROP include such activity (reply yes; no; possibly; add details if known)Engagement of the student (note: all UROPs take place in the summer; but are also possible for Imperial UGs in term-time)Full-time  FORMCHECKBOX  (i.e. 5 days/week)Near-to-full-time  FORMCHECKBOX  (i.e. 4 days/week)Part-time  FORMCHECKBOX  (i.e. 3 days/week or less)Term-time part-time  FORMCHECKBOX  (maximum of 6 hours/week)Dates of the UROP research experience [DD/MM/YYYY] Preferably commencing on a Monday and finishing on a Friday and referencing split periods due to holidays or other agreed breaks. Subsequent changes to the overall start and end dates should be communicated by the host department to HYPERLINK "mailto:student.records@imperial.ac.uk"student.records@imperial.ac.uk Overall start dateOverall end dateNumber of weeks within the above period in which the student will be actively participating in the UROP. Just state ALL if no breaks are expected.Breakdown of agreed attendance to accommodate any agreed breaks/holiday (if relevant). A whole week or longer breaks only. This can change, so the supervisor is asked to provide this information as a starting point.Break 1: DD/MM/YYYY to DD/MM/YYYYBreak 2: DD/MM/YYYY to DD/MM/YYYYDetails of the financial support being provided; i.e. the bursary A bursary is mandatory from 1 January 2026. It is advisable to delay completion of the registration form until these questions can be answered. Decisions on  HYPERLINK "/ý/fees-and-funding/undergraduate-funding/loans-and-grants/funding-for-placements/urop/" Imperial College managed UROP summer bursaries (Imperial UGs only) are communicated from 14 April.Please identify the source(s) of the bursary. Select all that are applicable.Imperial UROP Bursary Scheme  FORMCHECKBOX Host Dept Bursary scheme  FORMCHECKBOX Host Dept (GL account: F)  FORMCHECKBOX External bursary scheme or discretionary fund  FORMCHECKBOX Industry  FORMCHECKBOX Host Dept (GL account: G)  FORMCHECKBOX Host Dept (GL account: P)  FORMCHECKBOX Host Dept (GL account: N)  FORMCHECKBOX Host Dept (account: I)  FORMCHECKBOX If these options dont cover the situation adequately please describe.If the bursary has a specific name please provide it (e.g. London Mathematical Society Undergraduate Research Bursary)Section 3: to be completed by the host departmentA UROP supervisor should defer to their departments Education Manager for advice on completing Section 3. It is very important that the most appropriate person authorises Section 3. On behalf of my Dept, I, the person named below, approve the UROP for the student named in Section 1NameDepartmentDate: The Host Department should submit an approved form by email (preferably as a PDF document) to HYPERLINK "mailto:student.records@imperial.ac.uk"student.records@imperial.ac.uk. This action should be undertaken by designated staff only. Important: For NON-Imperial undergraduates the documents referred to in the Declaration in Section 1 should also be submitted. (1) Passport ID page; (2) any relevant UK visa and (3) a statement of registration/enrolment letter from their home university (covering the period up until at least the end of the planned UROP registration period at ý). The Host Department should send one UROP Research Experience Registration Form per email and include the start date of the UROP in the subject line. Forms for Imperial undergraduates should be sent to Student Records at least 4 weeks before the planned start date. Forms for external undergraduates should be sent to Student Records at least 8 weeks before the planned start date. PLEASE DO NOT SEND BURSARY FORMS (or any bursary payment related documents) to Student Records. Depts (and supervisors and ý) are also reminded that if a UROP Registration form is received later than 2 weeks before its scheduled end that Registry Student Records will NOT process it, i.e. retrospective registrations will no longer be processed. Substantive guidance on the registration process, and form itself, can be found at: HYPERLINK "/urop/how-to-get-involved/registration/"/urop/how-to-get-involved/registration/       INCLUDEPICTURE "/ict/assets/IMPERIAL_Wordmark_RGB_Blue_safe_area_2024_300x59.png" \* MERGEFORMATINET  PAGE  This version of the UROP Registration form was published on the UROP website: 30 January 2026 2 page document It should be used in preference to any earlier versions. 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