Poster Presentation Registration: For Single Presenter | Celebration of Scholarship

Poster Presentation Registration:
For Single Presenter

Fill out the form below to register as a single poster presenter in the Celebration of Scholarship.

You will have to check the Celebration of Scholarship website after registration closes 3/15/13 to confirm your registration. Please print your submission for your own records.

All proposals must be received by 5:00 p.m., Thursday, February 28, 2013 to be included in the program. Please fill out all information on this registration form.

Your Contact Information

Last NamePlease enter your last name

First NamePlease enter your first name

UniversityPlease enter your university

MajorPlease enter your major or area of concentration

Local/Campus AddressPlease enter your local/campus address

Home AddressPlease enter your home address

Home City Required State Required Zip Code Required

E-mail Address Please enter a valid email address

Phone Number (where you will most likely be reached) Please enter your phone number

Your Faculty Sponsor's Information

Faculty Name Please enter your faculty sponsor's name

Faculty Title Please enter your faculty sponsor's title (If you are unsure of your faculty sponsor's title, click here to check the directory)

Faculty E-mail Address Please enter your faculty sponsor's email address

Presentation Information

Title of Presentation Please enter the title of your presentation

Short Description of Presentation Please enter a short (no more than 150 words) description of your presentation.
What you enter here will go in the program. Please proofread.

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Celebration of Scholarship Undergraduate Conference

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Poster Presentations

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Celebration of Scholarship is presented by USEC