Author Agreement

Signature ______________
Date _______
Name (author #3)______________________
Mailing Address:
_____________________________________________________________________________________________
___________________________________________________
E-mail: _____________________________ Phone Number: ______________________
Major/Minors: ________________________________________________________________________
Class Year: ___________
Signature ______________ Date _______
For Mentors/Faculty Sponsors
By signing this agreement, you certify that you have advised or supervised the above named student(s) in
conducting original research, and that, to the best of your knowledge, the student(s) have followed the accepted
standards of academic honesty and ethics. By signing you also indicate that you have read the submission and
endorse its publication in the Northwestern Undergraduate Research Journal.
I, ______________________, have supervised the above named student(s) in the research being submitted and
approve of its publication in NURJ. I have reviewed the submission in its entirety, and I support its scientific
validity. I certify that all collaborations have been acknowledged, and that the accepted standards of academic
honesty and ethics have been followed, to the best of my knowledge.
Printed Full Name: ____________________________
Mailing Address: ____________________________
____________________________
____________________________
E-mail: ____________________________
Phone Number: ____________________________
Title: ____________________________
Department: ____________________________
Signature ______________ Date _______