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)


2012 Claremont Graduate University 150 E. 10th St., Claremont, CA 91711 (909) 621-8000 Campus Map/Driving Directions