(*) denotes required information.

* Department/Program:

* First Name:

* Last Name (All caps):

* Student Email:

* Student Campus Mailbox:

* Student ID#:

* Expected Graduation:

* Faculty Sponsor:

* Faculty Sponsor email:

* Student Home Address:

* Which format will you use to present your research?

Poster presentation
Panel(Oral) presentation

* Please provide project title and abstract. (250 words/1500 character limit)

* How will participating in this research opportunity enhance your academic development, especially with regard to your curricular goals? (200 word limit)