Regular Session Presentation Application

SIRC 12th

Presentation Application: REGULAR SESSION

Complete the application below, then click submit at the bottom of the application.

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* = Required Fields

Presenter Information

Name of Presenter(s) (student): *
Email Address(es): *
Phone number: *
College/university affiliation: *
Department affiliation:
Field of study: *

Presentation Information

Title of presentation: *
Research Project Course Number & Title:
150 Word Abstract of Presentation: *
Type of presentation (check one): Oral Wall-mounted Poster Free-standing Poster
(flat, maximum size 3' x 4')
All presentation rooms are equipped with computer USB port, computer projection, and Power Point. Please specify any other audio-visual or computer needs:

Faculty Sponsor Information

Name of Faculty Sponsor: *
College/university affiliation: *
Title and department affiliation:
Email address: *

Is your presentation part of a Special Session? If yes, Click this box.
By checking this box and submitting this application, I certify that I am in compliance with my school’s Institutional Review Board and/or Institutional Animal Care and Use Committee policies.