McNair Conference

Call for papers registration form

Please complete all fields after reviewing the Guidelines.

Please provide Student Information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Daytime Phone
Evening Phone
E-mail 1
E-mail 2
Your Academic Major and Department
Year in School (Sophomore, Junior, Senior)
Discipline(s) your research fits under

Please provide McNair Program information:

Name of Institution/McNair Program

Program Director/Contact

Program Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Program Phone

Program E-mail

Faculty Mentor (Name, Title, University – if different from student’s)

Faculty Mentor Name

University Student is attending

Please provide Presentation details:

Research Paper Title

This will be a: (Please check one)

Oral Presentation
Poster Presentation

If you will need any additional equipment for your presentation please specify:

Please type or paste a copy of your proposal in the space provided below
(250 words or less)

Type or paste plain text only.