STUDENT CONTACT INFORMATION
Name (first and last):
Banner ID:
Year in School: 1st Year 2nd Year Other
Hometown and State:
Phone:
BSU Email (required): @bridgew.edu
CLASS/INSTRUCTOR INFORMATION
COURSE NUMBER this work was done in (for example, ENGL101 Writing I):
Instructor who taught this class (first and last name):
Instructor's email: (This form will be forwarded for approval) @bridgew.edu
INFORMATION ON WHAT YOU ARE PRESENTING
1) I am submitting as: An Individual Part of a Group
**If you are presenting as part of a group, please list your group members here (first AND last name) NOTE: All group members MUST fill out a separate form. GROUPS WILL BE MATCHED BY COURSE NUMBER AND PROJECT TITLE:
2) Choose a Presentation Format: Oral Presentation Poster Presentation Performance (Dance, music, theater) Art display Film
3) Do you need a projector/screen? (for ppt, video, etc) YES NO
4) Please indicate the best times for you to present on December 10, 2010 (a Friday, the last day of classes for the fall semester) (EXAMPLE: 9-11:30; 1-3:30; ANYTIME between 10-2, etc):
5) Please tell us what your presentation will be about by answering the following questions:
5a) What is the TITLE of your presentation? (Title should be thoughtful, interesting, and informative. Consult your instructor for guidance.)
4b) What is the topic of your presentation? (You only need to answer with one or two sentences.)
Students and faculty are encouraged to participate as audience members throughout the day for the benefit of other MYS presenters.
Before clicking the "Submit" button. Print a copy of your complete form and review for accuracy. You may now click the Submit button and your form will be electronically sent to the Office of Undergraduate Research. You will receive email verification within three days indicating receipt of your form. Completed Forms Due NO LATER THAN 5:00 PM, 19 NOVEMBER 2010.