Special Session Faculty Sponsor Application

SIRC 12TH


Presentation Application: SPECIAL SESSION

TO BE COMPLETED BY SPONSORING FACULTY MEMBER

Note to Faculty Convener (Sponsor):  The students you list at the end of this application must provide information for their individual presentation in a separate application.

DEADLINE FOR SUBMISSION:  FRIDAY, FEBRUARY 14th, 2014

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

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* = Required Fields

Faculty Convener (Sponsor) Information

Name of Faculty Convener (Sponsor): *
Title and department: *
Email address: *
Phone:
College/university affiliation: *

Faculty Session Moderator Information

Check here if the Moderator is the same as the Sponsor.
Name of Faculty Session Moderator: *
Title and department:
Email address: *
Phone:
College/university affiliation: *

Presentation Information

Title of session presentation: *
Total number of papers in session (maximum of 5):
Name of Student Presenter Title of Research Paper Presentation