Share This Page With A FriendPrint This Page
2012 Academic Summit Information Form
UNDERGRADUATE RESEARCH PRESENTERS AND JURIED ART EXHIBITORS
Undergraduate research project presenters and juried art exhibitors are selected by each university. If you have been selected, please fill out this online form so that your work can be recognized in the conference program. Only one form should be completed per project/exhibit.



* indicates required fields

Lead Investigator/Exhibitor: Please provide your contact information.
First Name*
Last Name*
Institution*
Select your institution
Academic Major
Mailing Address*
City*
State*
Zip*
Email*
Phone Number*
Your Faculty Mentor(s)*
List the name of your faculty mentor. If more than one, separate with a semi-colon (;)
Presentation Information
Presentation Type* Juried Art
Oral Presentation
Poster Presentation
Presentation (Art) Title*
Proposal Abstract (Art Medium)*
Describe your presentation in 100 words or less. If you are submitting art for the juried show, simply describe the medium.
Audio/Visual Needs
Oral presentation rooms will be equipped with PC's, projectors and screens. Poster presentation areas will have easels and foam boards with pins available. If you have further setup needs, please describe here.
Other Investigators: List the names of people who contributed to the research and indicate if they will be presenting with you at the Academic Summit.
Co-Investigator(s)
Certification*
As a presenter, I have communicated wtih all co-presenters and they have agreed to present if the proposal is selected. Further, we understand we must register for the conference to present.
  Submit

©2008 University of Louisiana System
1201 North Third Street, Suite 7-300 Baton Rouge, LA 70802 | PH: 225.342.6950 | Contact Us
Site Credits: Site designed and developed by Covalent Logic