REGISTRATION FORM

19th Regional Conference on Undergraduate Research of the Murdock College Science Research Program

Friday and Saturday - Nov 12th and 13th, 2010

Form must be completed no later than October 11th, 2010.

 

Instructions: Each person attending must register individually. Abstracts are submitted ONLY by the lead author (one per poster) and limited to 250 words. Thanks!

Attendee information (required for all persons) :

First name:
Last name:
E-mail Address:

Affiliation:

Faculty Sponsor:
(students only)


Housing and meals:

Do you require housing on site? Yes No
Which nights will you be staying? All Thursday only Friday only
What meals will you attend? (please check all that apply) Friday, November 12th: BreakfastLunchDinner

Saturday, November 13th: BreakfastLunch

Dietary preference: Kosher

Vegetarian

Vegan

Meat or no preference



Author information (required for all students):

Will you be an author on a poster?: Yes No

Poster title:


Author list and abstract. Only ONE author should submit an abstract for the entire group. Please mark presenting author with and asterisk*.

Authors:
Brief abstract describing your presentation:

 

Thank you!

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