UNCG
11/06/10

Last modified 10/05/10

Registration form

The deadline for registration, abstract submission and travel support application is October 22, 2010.

Name:
Email:
Institution:
Address of the institution:

Status (select one)

I plan to attend Friday afternoon informal session

I would like to ask for travel support of

Comments:



I would like to have a presentation

Title of the presentation:

Faculty mentor(s):

Faculty mentor's URL:

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).



Demographic Information (used for grant reporting only):

Major (if applicable)

Minor/Second Major (if applicable)

Gender

Ethnic Background