Contract Form

This form must be completed by Scholars Academy students at the beginning of each Contract.

Part I

Student Information

*Last Name:

*First Name:

*Lewis ID:


Faculty Mentor Information

*Last Name:

*First Name:


Contract Information

Course Title:

Catalog Number:

What is the goal of the contract?

What is the motivation for undertaking the contract?

Which of the guiding Pillars of the Scholars Academy does this contract align with (check all that apply)?



What will the final product(s) and/or performance(s) look like? Note: work product(s) should reflect effort from a semester-long project. Check all that apply and briefly explain:

 Research Paper
 Reflective Essay
 Oral Presentation
 Creative Works


Do you imagine a larger audience for this project than the faculty member with whom you are working? If so, how can the Scholars Academy help you achieve this goal?

Does this work survey or involve the use of human subjects and/or vulnerable populations?

Note: if yes, include the associated IRB approval letter as an attachment.

How frequent will the meetings be between scholars and faculty member?

*Security Password (Please type the word ):

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