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Student Research Expo Application
Complete the following questions. If you have any questions, contact Ms. Lillian Correa,
lcorrea@hostos.cuny.edu
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* Indicates required question
Primary Contact: Enter Your Full Name
*
You will be in charge of receiving and sharing all information with co-presenters, if any.
Your answer
Major
*
Your answer
CUNYFirst/EMPLID
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Second Presenter: Include Full Name, Major, Email Address, Phone Number
Leave blank if you are presenting alone
Your answer
Presenter 2 - CUNY/EMPL ID
leave blank if you are presenting along
Your answer
Third Presenter: Include Full Name, Major, Email Address, Phone Number
Leave blank if you are presenting alone
Your answer
Presenter 3 - CUNY/EMPL ID
Your answer
Title of Research Project
*
Your answer
Project Abstract
*
An abstract is a brief description of the topic of your research project. Use a maximum of 100 words
Your answer
Collaborators/Faculty Mentors
*
Provide the name(s) of the faculty you worked with to complete the research project you described in the abstract section.
Your answer
What program funded/sponsored your research?
*
Only include the program that sponsored your research proposed in this application. Sample programs include: Title V, C-STEP, CUNY Scholars, Honors
Your answer
Voluntary Waiver
Check the box to indicate your consent
When submitting this form you also give consent to have your poster included on the OAA and CTL webpages, if it is selected for inclusion on Research Day 2016.
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