UNCG
11/07/09

Last modified 7/24/09

Registration form

The deadline for registration, abstract submission and travel support application is October 23, 2009.

Name:
Email:
Institution:
Address of the institution:

Undergraduate student Faculty
Graduate student Other

I would like to ask for travel support of
(we will likely not be able to provide more than about $50 per person)

Comments:



I would like to have a presentation

Title of the presentation:

Faculty mentor(s):

Abstract:

For the presentation, I will use

Remark. The use of a blackboard/whiteboard will likely not be possible. The provided computer has an internet access (and programs such as IE, PowerPoint, Adobe Acrobat Reader, MS Excell, MS Word).



Voluntary Demographic Information (used for grant reporting only):

Enrollment status (select one)

Major

Minor/Second Major

Gender

Ethnic Background