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GREAT Training Program
University of California Biotechnology Research and Education Program UC BREP, 301 LSA Attn: Grant Administrator University of California One Shields Avenue Davis, CA 95616 |
| Note: If one faculty sponsor provides all cross-disciplinary expertise, then a mentor's signature is required along with the primary sponsor's signature to demonstrate breadth of exposure for the fellow. |
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Project Title: ___________________________________________
Campus: ___________________________________________ |
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Faculty Sponsor—Life Sciences Name: ___________________________________________ Signature: ___________________________________________ Date: ___________________________________________ Faculty Sponsor—Physical, Chemical, Material, Engineering, Mathematical or Computational Sciences Name: ___________________________________________ Signature: ___________________________________________ Date: ___________________________________________ Mentor Name: ___________________________________________ Signature: ___________________________________________ Date: ___________________________________________ Mentor Name: ___________________________________________ Signature: ___________________________________________ Date: ___________________________________________ |
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For office use only Date received: _________________ By: __________________________ Number: ______________________ |