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Mid-Atlantic Undergraduate Research Conference 2020 Application
Please fill out this form to apply for the Mid-Atlantic Undergraduate Research Conference being held at Virginia Tech on March 28th-29th 2020. If you have any questions, feel free to email us at
srccvirginiatech@gmail.com
.
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Option 1
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Option 1
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First Name
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Your answer
Last Name
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Your answer
Undergraduate Institution
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Your answer
Gender
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Female
Male
Prefer not to say
Other:
Ethnicity
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White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian / Pacific Islander
Other:
Field of Research
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Science
Technology
Engineering
Mathematics
Specific Field of Research
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Your answer
Please enter the title of your project
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Your answer
Select which form of presentation you prefer
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Poster
Oral Presentation (12 minutes with 3 minutes for questions)
Both
Please enter the abstract for your project
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Your answer
Can your abstract be published on our website and event program?
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Yes
No
Other:
What are your future education and career plans?
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Your answer
Do you have any dietary restrictions? Please list them if so or write N/A if there are none.
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Your answer
Have you participated in this conference before?
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Yes
No
Other:
How did you hear about this conference?
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Your answer
Please indicate an email address that we can use to reach you.
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Your answer
Do you grant us permission to include you in conference photos and to use those photos for our website, flyers, etc?
*
Yes
No
Additional comments
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