Erickson Undergraduate Research Conference: REGISTRATION FORM

Friday, May 8, 2009

REGISTRATION FORM

Register today! Prizes will be awarded for the top poster and presentations!

This form must be completed no later than April 24, 2009.

Instructions: Please mark presenting authors name with an asterisk*. All participants should complete the registration form, however, ONLY one author should submit the abstract. Please limit abstracts to 100 words.

Author(s):
E-mail Address:
Phone Number :
Poster/Presentation Title:

Brief abstract describing your presentation:

Discipline (i.e. Chemistry, Engineering, Physics, etc.)
Faculty Sponsor:

Preference Oral Poster

Please check the box if you will join us for dinner
Please check the box if you will join us for breakfast with the speaker on the 8th at 830AM in Gwinn commons.

I have a meal plan I will use to pay for my breakfast (Note that if you have a meal plan that will not cost you extra we would appreciate the cost savings, if not we are happy to buy you breakfast!): Yes No

Thank you!