STUDENT CONTACT INFORMATION

Year in School:
1st Year      2nd Year      Other

Hometown and State:

Phone:

BSU Email (required):
@student.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:

3) Please indicate the best times for you to present on Monday, December 9, 2013:

Times available to present (check all that apply):
   9:05-9:5510:10-11:00  11:15-12:05  12:20-1:10  1:30-2:20  2:30-3:20  

4) Please tell us what your presentation will be about by answering the following questions:

4a) 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 it 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 indicating receipt of your form.
Completed Forms Due to the OUR (200 Maxwell Library) NO LATER THAN 5:00 PM, 19 NOVEMBER 2013.