Applicant Information

Your Name :

Email Address:

Primary Academic Major:

Year of Study:

Freshman
Sophmore
Junior
Senior

Faculty Mentor Information

Be sure to complete your mentor's information thoroughly and accurately.
Mentor Name:

Mentor's Email:

Mentor's Department:

If you have more than one mentor, you may submit additional email addresses here. Email correspondence will be cc'd to this address.

Group/Other Presenters

Is this a group presentation?
Yes (If yes, please enter names of all presenters below)
No

Names of all Presenters if applicable:

Presentation Information (You MUST complete this section)

Tentative Title:

Brief Description:

Presentation Type
Type of Presentation Preferred (Required)

Oral (10-15 minutes)

Poster      

Performing or Visual Arts:

Exhibit (please describe in space below

Performance (please describe in space below)

If you checked either Exhibit or Performance please describe in this space.

Anticipated Equipment (You MUST complete this section)

The following options are available ONLY for ORAL, PERFORMING, or VISUAL ARTS PRESENTATIONS (Posters will be displayed on easels).
*Microsoft PowerPoint - Office 2003 version

Internet Connectivity

DVD/VCR/CD Players (please indicate specific needs below)

Dance or Drama space (indicate size below)

Music Stand

Display Table or Wall space (please indicate specific needs)

Overhead Transparency Projector and Screen

Slide Projector

*Digital presentations will have to be accessible via removable media (CD/DVD/USB stick) or internet only! Individual laptops will not be supported. Please save any digital presentation data in a format that can be displayed on a PC via CD, DVD or USB stick (USB stick preferred). For example, save your presentation as a PowerPoint file on removable media, and test on a PC prior to your presentation.

Please add any additional information asked for above in this space. BE SPECIFIC for best results.