NASEC 2013 - USMA & USAFA Cadet Registration Form
U.S. Naval Academy
Annapolis, Maryland

Naval Academy Science and Engineering Conference (NASEC)
Sunday, 3 November through Wednesday, 6 November 2013

Please complete and click on the SUBMIT button at the end of this form.

Registration will close at 1600 on Friday, 25 October 2013.

Please send an e-mail message to Prof. Malek-Madani (rmm@usna.edu)  --  to ask about late registrations  -- prior to completing the registration form.

*Asterisks indicate required fields.

Disclaimer: Information is for conference use only and will not be released.
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Personal Information
Last Name *
First Name *
Preferred Name on Badge *
College/University *
Your USPS Mailing Address *
Phone Number *
Email *
Re-enter Email *
Lodging and Meal Information
Lodging and meals will be provided by the conference host. (See NASEC Web site http://www.usna.edu/AcResearch/nasec2013/NASEC2013.html for specifics.) Students will be housed in double occupancy rooms in a local hotel within walking distance of the Naval Academy. A continental breakfast will be provided at the hotel on Monday, Tuesday and Wednesday mornings.
I will need lodging for the nights of: *
We will be housing students in double occupancy rooms.  Thus, you may be assigned a room with a student from another institution. Please provide information to help us make the room assignments.
Required
Gender
Clear selection
Please indicate any special needs for food or housing purposes.
Special food needs MUST be pre-arranged with the caterer. Only those who indicate their needs on this form will be accommodated at meals and breaks.  
Conference Information (Sunday, 3 November  -  Wednesday, 6 November)
The expectation is that participants will attend all four days of the conference.  Requests for attendance on fewer days will be accommodated as space allows.
I will attend the conference on *
Required
Please consult the NASEC Web site (http://www.usna.edu/AcResearch/nasec2013/NASEC2013.html) for brief descriptions of the sessions, and then indicate your preference for session attendance throughout NASEC 2013. *
The conference has three concurrent sessions: (1) Health, (2) Energy, and (3) Cyber.
1st Choice
2nd Choice
3rd Choice
Health
Energy
Cyber
Poster Session
NASEC 2013 will feature a poster session to showcase student work. STEM-related posters are solicited in the areas of open-ended course projects, capstone projects, and research projects. Prizes will be awarded for the top posters in each category. More details regarding the format, content, and judging of posters can be found on the NASEC Web site (http://www.usna.edu/AcResearch/nasec2013/NASEC2013.html).

The poster CANNOT be larger than 32” X 40”.  We will supply an easel, foam board and push pins for display purposes.  Please see the NASEC Web site (http://www.usna.edu/AcResearch/nasec2013/NASEC2013.html) for suggested poster format.
Are you interested in presenting a poster based on a course or research project in one of the three topic areas of the concurrent sessions (listed above)? *
If YES, please provide the title of your poster.
Please provide a short description of the course project or research effort that led to your poster.
Please indicate below the poster category in which you would like to participate:
Clear selection
  Emergency Contact Information
Last Name *
First Name *
Relationship
Day Phone *
Evening Phone *
Email
Submit
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