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Please provide the following information (this information is required):

First Name
Last Name
Student ID #
E-mail
Phone

Year in School

College

Department that your project and faculty sponsor reside in (this may not necessarily be your major).

Accountancy	Electrical & Computer Engineering	Modern Languages & Literatures
Anthropology	English	Music
Art	Environmental Studies	Nursing
Bilingual Education	Geosciences	Philosophy
Biological Sciences	History	Physics
Chemistry and Biochemistry	Information Technology & Supply Chain Management	Political Science
Civil Engineering	International Business Program	Psychology
Communication	Instructional & Performance Technology	Public Policy and Administration
Community & Environmental Health	Kinesiology	Radiological Sciences
Computer Science	Literacy	Respiratory Care
Construction Management	Management	Social Work
Counselor Education	Marketing & Finance	Sociology
Criminal Justice	Materials Science & Engineering	Special Education & Early Childhood Studies
Curriculum, Instruction and Educational Studies	Mathematics	Theatre Arts
Economics	Mechanical & Biomedical Engineering	Other
Educational Technology

Faculty Sponsor Name - The conference planning coordinator will provide your abstract information to your faculty sponsor for their review and final approval.

Faculty Sponsor E-mail

Only the primary presenter must submit an application and abstract. If this is a group application, please list the other participants' names here.

Team Member #2 Name
Team Member #3 Name
Team Member #4 Name
Team Member #5 Name
Team Member #6 Name
Team Member #7 Name
Team Member #8 Name

Type of Presentation - Please select one:

Research & Professional Practice Poster - Poster is not mounted and will be attached to a wall panel or board. These posters should not exceed 3'x4' in size. Larger posters may not fit on the wall panels or display boards.
Research & Professional Practice Poster - Poster is mounted and ready to be displayed on an easel.
Research & Professional Practice Poster - Poster is mounted and is self-standing on a table top.
Podium Presentation - Oral delivery of finished research paper, not to exceed 15 minutes.
Performing Art Presentation - Not to exceed 10 minutes
Media Presentation
Visual Arts Presentation - Complete the visual arts information below. You may be requested to provide digital photos of the work prior to acceptance into the conference.

Complete this section only for Visual Arts Presentation - Please briefly describe your artwork, approximate size, if an artist statement will be included, hanging method if applicable, and any other information regarding your project's display.

EQUIPMENT

Lap tops and projectors will be included in the room set up for all podium presentations. Each poster presenter will be provided with 2 chairs and either a panel/display board or an easel as indicated above. If you need a table this year, please include it in the equipment request below. For questions regarding equipment needs, please contact the conference organizer.

Equipment Request (select all that apply).

	Table (6' x 2')		Internet Access
	Power Outlet		Other, Please Specify
	Extension Cord