Student Research and Creativity Exposition
Application

2015 Student Creativity & Research Exposition Application

Please complete the form below to apply to participate in the 2015 Student Creativity and Research Exposition. You will receive notification of the acceptance of your proposal within two weeks after the deadline to apply.
* Required

LEAD PARTICIPANT

Lead student for Creativity and Research project.
Lead Student's Name *
Fredonia ID *
Email *
Local Phone *
Local Address (street, state, ZIP) *

FACULTY MENTOR

Faculty Mentor Name *
Department *
Faculty Email *
Title of Work *
PROPOSAL: *
Please type an abstract of 150 words or less.
Type of exhibit/ presentation *
  •  
If oral presentation time is not available during the Exposition, are you willing to do a poster? *
Space and/or equipment needs: *
  •  
Times you are available to present (please check all that apply):
Approval of appropriate committees for human/animal subjects:

2nd Participant (OPTIONAL)

2nd Participant's Name
2nd Participant’s Email
2nd Participant's Local Address
2nd Participant's Phone
2nd Participant’s Major

3rd Participant (OPTIONAL)

3rd Participant’s Name
3rd Participant’s Email
3rd Participant’s Local Address
3rd Participant's Phone
3rd Participant's Major

4th Participant

4th Participant's Name
4th Participant's Email
4th Participant's Local Address
4th Participant's Phone
4th Participant's Major
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Page modified 2/3/15