Application for Participation in Student Research Day
Submission Procedures
  • Complete this application by March 18, 2015.
  • Use formal titles for all information, such as Dr. John Doe, not simply John Doe.
  • A copy will be automatically emailed to your Research Advisor for their approval.
  • Typically, the applicant named at the top of the form will also be the primary author.
  • For purposes of this form, collaborators are considered to be contributors from off-campus.
  • Required information is starred.*
First Name *
Last Name *
Email Address *
Department *
Research Discipline *
Classification *
Ethnicity *
URECA Grant Recipient (Undergraduate Research
and Creative Activity)

Primary Faculty Research Advisor *
Primary Faculty Advisor Email *
Primary Faculty Advisor Department *
Additional Faculty Research Advisor
Additional Faculty Research Advisor Email
Additional Faculty Advisor Deparment

Primary Author First Name
Primary Author Last Name
Primary Author Department
Author 2 First Name (If applicable)
Author 2 Last Name (If applicable)
Author 2 Department (If applicable)
Author 3 First Name(If applicable)
Author 3 Last Name(If applicable)
Author 3 Department (If applicable)

Collaborator 1 First Name
Collaborator 1 Last Name
Collaborator 1 University
Collaborator 1 Department
Collaborator 2 First Name
Collaborator 2 Last Name
Collaborator 2 University
Collaborator 2 Department

Project Title*(Maximum of 12 words)
Abstract *(No more than 250 word limit. No Indents.)