AEG NY-P November 2019 Student Night Application
Please join us for our Sixth Annual Student Night. This is a competitive poster conference with room for up to 20 posters.

November 14, 2019
6 pm - 9 pm
Clarion Hotel, 60 Cottontail Lane, Somerset, NJ 08873

Posters for research or work in the areas of engineering geology and environmental geology are encouraged for consideration.

NOTE: Your research does not need to be completed! Please considering presenting whatever research you currently have in progress.

Poster board trifolds will be provided and are 36” high by 48” wide. Binder clips will be provided to attach your poster.

Formal event registration for all applicants will be completed when project selection notifications are sent. All Student Authors and advisers registered via this form do not need to register separately.
Email address *
Project Title *
Your answer
Project Abstract (please limit to approximately 100 words) *
Your answer
Do we have your permission to publish the title and abstract online on the AEG NY-P Chapter website? *
All poster titles and abstracts will be printed in the event program.
May we post photos of the Student Author(s) or your poster on AEG NY-P's social media? *
Examples include the Chapter website, Facebook page, and Instagram.
Please list the name and email address of the main Student Author contact who will be coordinating participation in the event. *
This should be a student presenter attending the event and an email address they monitor frequently. Please include this person in the Student Author registration sections below.
Your answer
Project Adviser - Name *
Please provide the first and last name of the Project Adviser.
Your answer
Project Adviser - College/University *
Please provide the College/University of the Project Adviser.
Your answer
Project Adviser - Email Address *
Please provide the email address of the Project Adviser.
Your answer
Is the Project Adviser attending Student Night? *
Student Author 1 - Name *
Please provide the first and last name of Student Author 1.
Your answer
Student Author 1 - College/University *
Please provide the College/University of Student Author 1 AND if they are a graduate or undergraduate student.
Your answer
Student Author 1 - Email Address *
Please provide the email address of Student Author 1.
Your answer
Is Student Author 1 attending Student Night? *
What is Student Author 1's birthday? *
Please indicate DD/MM/YYYY so we can assess if any student attendees will be under the age of 21.
Your answer
Student Author 2 - Name
Please provide the first and last name of Student Author 2.
Your answer
Student Author 2 - College/University
Please provide the College/University of Student Author 2 AND if they are a graduate or undergraduate student.
Your answer
Student Author 2 - Email Address
Please provide the email address of Student Author 2.
Your answer
Is Student Author 2 attending Student Night?
What is Student Author 2's birthday?
Please indicate DD/MM/YYYY so we can assess if any student attendees will be under the age of 21.
Your answer
Student Author 3 - Name
Please provide the first and last name of Student Author 3.
Your answer
Student Author 3 - College/University
Please provide the College/University of Student Author 3 AND if they are a graduate or undergraduate student.
Your answer
Student Author 3 - Email Address
Please provide the email address of Student Author 3.
Your answer
Is Student Author 3 attending Student Night?
What is Student Author 3's birthday?
Please indicate DD/MM/YYYY so we can assess if any student attendees will be under the age of 21.
Your answer
Student Author 4 - Name
Please provide the first and last name of Student Author 4.
Your answer
Student Author 4 - College/University
Please provide the College/University of Student Author 4 AND if they are a graduate or undergraduate student.
Your answer
Student Author 4 - Email Address
Please provide the email address of Student Author 4.
Your answer
Is Student Author 4 attending Student Night?
What is Student Author 4's birthday?
Please indicate DD/MM/YYYY so we can assess if any student attendees will be under the age of 21.
Your answer
Are you interested in starting an AEG Student Chapter at your college or university? *
Do you wanted to be added to the AEG NY-P email distribution list? *
If yes, please list the email addresses to be added to the distribution list.
Please avoid using .edu addresses if possible.
Your answer
Comments
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A copy of your responses will be emailed to the address you provided.
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