2018 Student Symposium Registration Form
Instructions:
1. This form is due Friday, February 9, 2018 by 5 p.m. Late registrations will not be accepted.
2. The Symposium is on Friday, April 20 in the Jepson Alumni Center and the Modlin Center for the Arts from 1 pm to 6 pm.
3. If you are giving multiple presentations, you will need to register each presentation separately. Please note you can not make two presentations on the same topic.
4. If you are presenting a group project, just one student should fill out the application form. There is a spot to list all the project group members and their emails in the application.
5. If you are giving a poster presentation, you will receive instructions on poster printing at a later date.
6. You will be contacted on February 26 regarding your presentation time, once the schedule is made. You are responsible for checking for this email and responding promptly if you have a conflict.

Information entered into this form will be printed in the final program AS IS. Please enter full names and double-check your spelling.

Contact person: Dr. Monika Siebert (English) msiebert@richmond.edu

Email address *
Contact Information
Last Name *
Name of main contact person for this presentation
Your answer
First Name *
Name of main contact person for this presentation
Your answer
UR email *
You must enter a UR email address.
Your answer
UR Net ID *
e.g., bc4dh
Your answer
Class Year *
The year you will graduate
Your answer
Major *
Please list your major. If you have multiple majors, please include them all.
Required
What department or program is most closely affiliated with your project? *
If applicable, is there a secondary department or program affiliated with your project?
Primary Faculty Mentor Last Name *
Please be sure your spelling is correct. Do not include Professor or Dr.
Your answer
Primary Faculty Mentor First Name *
Please be sure your spelling is correct. Do not include Professor or Dr.
Your answer
Primary Faculty Mentor Email *
Your answer
Secondary Faculty Mentor Last Name
Please be sure your spelling is correct. Do not include Professor or Dr.
Your answer
Secondary Faculty Mentor First Name
Please be sure your spelling is correct. Do not include Professor or Dr.
Your answer
Secondary Faculty Mentor Email
Your answer
My t-shirt size is... *
Required
Is this presentation being presented by an individual or a group? *
If individual, please skip next section
Group Information
If this is a group presentation, please enter the FULL names of all group members in addition to yourself.

If this is an individual presentation, skip this section.

I understand that all Symposium correspondence will be sent to me by email. I am responsible for checking email and notifying co-presenters about any information related to the Symposium *
Required
Group Member 1
First and Last Name
Your answer
Group Member 1 Email
Your answer
Group Member 2
First and Last Name
Your answer
Group Member 2 Email
Your answer
Group Member 3
First and Last Name
Your answer
Group Member 3 Email
Your answer
Group Member 4
First and Last Name
Your answer
Group Member 4 Email
Your answer
Group Member 5
First and Last Name
Your answer
Group Member 5 Email
Your answer
Additional Group Members
If you have additional group members, please list them below. Be sure to list their full names, separated by a comma and provide their email address.
Your answer
Please provide us with the number of t-shirts your group needs in each size: Small, Medium, Large, or XL.
Ex: My group needs 3 large, 2 medium, and four small
Your answer
About Your Project
Title of Presentation *
Your answer
Type of Presentation *
If you chose Oral Presentation above, would you like to have your presentation considered for a 15 minute presentation with 5-10 minutes for questions?
Is your presentation part of an honors project? *
Please indicate whether your project is part of one of the following honors sessions:
If you are not participating in any of these sessions, please skip this question.
Did you do any of your project abroad? *
Does your project have an international component to it? *
Are you aware of the Symposium paper competition?
To learn more about the paper competition, visit: http://as.richmond.edu/student-research/symposium/paper.html
Are you aware of the arts competition?
To learn more about the arts competition, visit: http://as.richmond.edu/student-research/symposium/arts.html
The Environmental Awareness Group (EAG) and the Office of Sustainability are sponsoring an award recognizing the best student and faculty research/scholarship on environmental or sustainability topics. The award will be judged by members of the EAG. To have your work considered for this award, please check this box.
The University of Richmond Scholarship Repository archives student scholarly work at http://scholarship.richmond.edu. If you would like to contribute your research to the repository, please check the box below and you will be contacted with instructions.
Is this project supported by funds from the University or another external source? Please check all that apply.
Scheduling
Are you submitting more than one presentation as a primary presenter?
Please note you cannot do two presentations on the same topic.
Are you a secondary presenter on another group presentation?
Please note you cannot do two presentations on the same topic.
If you are a secondary presenter on another group presentation, please type the primary presenter's name for that presentation in the box below.
Your answer
Do you have class on Friday afternoon? *
Required
I have class on Friday afternoon at the following times:
Please enter this information carefully; once we have assigned you a time slot to present, it may not be possible to move you to another slot.
I understand that I will be contacted by email on February 26 with the scheduled time for my presentation and that changes to the presentation time after March 2 will not be possible. *
Required
Please hold the evening for the Symposium Dinner that will begin at 6:30 in the Alice Haynes Room in THC. This event celebrates your achievements, and also recognizes award winners and outstanding faculty mentors. You are welcome to bring guests. *
Required
The Speech Center is available for helping all students prepare for their presentations. You can sign up for an appointment online at https://speech.richmond.edu/appointments/index.html *
I am interested in working with the Speech Center to help prepare my presentation.
Please list any special presentation needs below.
Students presenting posters will be provided with an easel, a foam core board, and clips. Students giving oral presentations will be provided with a projector and a laptop.
Your answer
Submitting Your Application
Once your application is complete, click the submit button below once. You will then be taken to a screen confirming your application. You may have to scroll up to the top to see the confirmation. If you do not see the confirmation screen, please contact Dr. Monika Siebert at msiebert@richmond.edu to confirm receipt of your application prior to submitting the form a second time.
Submit
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