Student Registration Form for Minds@Work Conference

 

Tab or use mouse to move from field to field. Enter will leave form.  All fields containing asterisks are required fields.

If you have questions or are having trouble registering email Pam Bucher at psbuch@ship.edu.

Information from this form will be published in the conference program, your certificate of participation, and name badge. Please make sure all information is complete and spelled correctly.

You may participant in more than one presentation, HOWEVER we strongly recommend that you register as "Lead Student Author" on only one. While the conference scheduling committee tries to accommodate all schedules, we cannot guaranty that a scheduling overlap will not occur in some instances.

Type of Presentation:

 
* Select only one
       

 Please review the following definitions of the types of presentations possible at the conference before making your selection:

 Poster - Poster display area is 36" X 48"landscape orientation. We strongly recommend printed posters, but if you are exceptionally artistic, a handmade poster can look good, too. Please indicate any extra equipment needs in the box “Other AV or space needs” further down on this form.

Oral Presentation - This is a talk on your work given to an audience. Talks will be allotted 15 minutes, including questions from the audience; a computer and projection screen will be available. Before signing up individually to do an oral presentation, check with your research adviser to see if your department is already planning to reserve a block of time for talks. Students who sign up individually for oral presentations will be grouped together by topic.

Performance - This is an artistic performance with scholarly merit. Specify your time/space needs in the box “Other AV or space needs” further down on this form.

Creative Work Display - Choose this option if you would like to display photos, paintings, sculptures, or other creative work with scholarly merit, or if you have a research display that does not fit into the other categories. Indicate space/equipment needs in the box “Other AV or space needs” further down on this form.

Title of Presentation:

 
*

Abstract:

 

The abstract must be entered as a single paragraph (do not indent) with wrap around text. Proofread Carefully! This abstract will be printed in the program as it is entered. The registration form has a 1000 character (including spaces) limit. This program will not accept your form if abstract is over the 1000 characters/space limit. How to check character count: in Word, select Review, then Word Count. Make sure Characters (with spaces) is under 1000. Once abstract is under 1000 characters you can cut and paste abstract into the space provided.

*     

Student Participants:

 

Total number of students who will be participating in the presentation of the above titled project at the conference *  
The total number of students involved in the research/creation of this project?*  

 

 

Student Author(s):

 
*Lead Student Author:      

Last Name *  
First Name*

Student ID Number:
No Social Security Numbers * 
Class Status:  

Email*
Telephone*  

 

 
Second Student Author:    
Last Name  
First Name
Email
Class Status

 
Third Student Author:      
Last Name  
First Name  
Email  
Class Status

 
Fourth Student Author:      
Last Name  
First Name
Email  
Class Status

 
Fifth Student Author:      
Last Name
First Name
Email
Class Status:  

 
 
Sixth Student Author:    
Last Name  
First Name
Email
Class Status:  

 
Seventh Student Author:    
Last Name  
First Name
Email
Class Status:  

 

Faculty Mentor/Sponsor: Please provide only first and last names, no prefixes

 
Primary Faculty Mentor/Sponsor:    
Department *  
Last Name *
First Name*
Email *  
 

 
 
Faculty Sponsor (two):    
Department
Last Name  
First Name
Email
 

 
 
Faculty Sponsor (three):    
Department
Last Name
First Name
Email  
 

Audio visual needs?

 
All rooms used for panel sessions and oral presentations will be equipped with a lectern, laptop, projector, and screen.
Will your presentation require the use of a computer with sound capabilities?
       
Other AV or space needs  

Accessibility needs?

 

Undergraduate Research Award (UGR or GR)

 

Indicate year(s) you received any Research Awards.
       

Please double check all information for accuracy before submitting. Thank you and we look forward to your presentation at the conference! If you have questions or are having trouble registering email Pam Bucher at psbuch@ship.edu.

 

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