Student Research Symposium Application

Please fill out the information form below. Make sure to press the "Submit Information" button when you are done entering information.
It is very important that all information be provided.

The final deadline for the receipt of applications is Monday, April 10, 2006.

Your Name:
Today's Date:
School Name where Research Work Done:
Co-Author Names:
Name(s) of Your Research Advisor(s):
How many of the co-authors and advisors will be attending?
Your Email Address:
Your Phone Number:
Title of project:

Select the type of presentation:

Oral
Poster

[Oral presentations should be 12 minutes with 3 minutes for questions.]

Please indicate your Audio-Visual requirements:

Computer Presentation
35mm Slide Show
Overhead Projector
None

Please indicate your project research area:

Analytical
Inorganic
Organic
Physical
Biochemistry

Abstract - Project Description (maximum of 300 words):

You may email a file as an attachment, either a standard image (gif or jpg) or MSword file, if you prefer.
Email files to Professor Nishimura; nishimu@westmont.edu

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