Title:

Topic Area: (User-defined - e.g., Environmental Science, Business, History, Biology, Chemistry)

Presentation Type:
Poster Presentation
Workshop
Formal Paper

Presentation Description:

Length: (Workshop/Paper Only)

15 20 30 40

Preferred Time: (Paper Only – between 1:00 and 3:00 pm)
**Time slot cannot be guaranteed but we will try to fulfill all requests**

Audio/Visual/Computer Requirements:

Computer Projector (Workshop/Paper Only)
Overhead Projector (Workshop/Paper Only)
TV/VCR (Workshop/Paper Only)
TV/DVD Player (Workshop/Paper Only)
Lanyard Microphone (Workshop/Paper Only)
Access to Power
Extension Cord

II. PRESENTER INFORMATION

Primary Presenter First Name:

Primary Presenter Last Name:

Primary Presenter TUID:

* Email Address:

Primary Presenter Phone:

Other Presenters – excluding the Primary presenter, above, how many other presenters will there be for this session?

What are the names and type (student, faculty/administrator, staff) of the other presenters?

If you are a faculty member and want to register an entire class, identify the course code and CRN:

III. FACULTY/STAFF SPONSOR

Faculty/Staff Sponsor Last Name:

Faculty/Staff Sponsor TUID:

Faculty/Staff Sponsor Email Address:

Faculty/Staff Sponsor Phone:

IV. OTHER INFORMATION

Are you presenting at any others sessions? If so, please list each session:

Do you have any other requests? Please give us any additional information to help make Eco-Scholars Day a success