Application Form A

General Information:
Name:
Email:
Campus box:
Campus phone or cell phone number:
Major(s):
Minor(s) and Concentration(s):
Major GPA:
Cumulative GPA:
Conference Information:
Conference name:
Organization sponsoring the conference:
Location:
Dates:
Conference topic:
Application deadline:
Participant Information:
Project title:
Project abstract:
Project author(s) [list all the authors that appear on the project]:
State of conference proposal (select one):

Proposal accepted
Proposal completed and submitted
Expected date for acceptance/rejections:
Proposal in process
Expected submission date:

If 'proposal in progress', explain in a few sentences the state of the proposal (how much of it has been completed; what else needs to be done before it is ready for submission)

Form of participation (select one)
Have you presented at a conference before? No
Yes
When?
Where?
Presentation title:
Reference Information:
Please list below the name and e-mail of the professor who supervised your project.
Name:
Email: