Shawnee State University

Celebration of Scholarship Undergraduate Conference

Presenter Registration Form


Proposals may be submitted by completing the form below.  All proposals must be received by 5:00 p.m., Friday, March 13, 2009 to be included in the program.  Please fill out all information on this registration form.

Please provide the following contact information for yourself:

Name
Institution
Major
Street Address
City
State/Province
Zip/Postal Code
Phone
E-mail

Please provide the following contact information for your faculty mentor/sponsor:

Name
Title
E-mail

Please provide the following presentation information:

Title
Short Description
Type (Oral or Poster):

Equipment Needs:

Slide Projector               Overhead Projector            Digital Projector             VCR/DVD Monitor             
CD player                     Digital Projector w/computer  Other                         

Submit by clicking on the submit form button or print and deliver to: Shannon Lawson, Shawnee State University, 940 Second Street, Dept of English and Humanities, Massie 422, Portsmouth, OH 45662.  Or, email to: slawson@shawnee.edu


Copyright © 2003 Shawnee State University. All rights reserved.
Revised: 02/24/09