Student Nomination Form
Please note that the modal number of students per institution is one. We ask that faculty at an institution coordinate among themselves if they are interested in nominating more than one student and rank order among them to indicate preferences. Absent such preferences, the organizing committee will use their best judgment based on the information provided in the nominating form.
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Nominating Faculty and Institution
Your Name:
Preferred Email Address:
Institution:
Student Information
Student #1
Student #1 Name:
Student #1 Email Address:
Has this student presented at CCC before?
Clear selection
Rank Order
(1-5)
Clear selection
Paste Abstract Text
Please limit to one page
Student #2
Student #2 Name:
Student #2 Email Address:
Has this student presented at CCC before?
Clear selection
Rank Order
(1-5)
Clear selection
Paste Abstract Text
Please limit to one page
Student #3
Student #3 Name:
Student #3 Email Address:
Has this student presented at CCC before?
Clear selection
Rank Order
(1-5)
Clear selection
Paste Abstract Text
Please limit to one page
Student #4
Student #4 Name:
Student # 4 Email Address:
Has this student presented at CCC before?
Clear selection
Rank Order
(1-5)
Clear selection
Past Abstract Text
Please limit to one page
Student #5
Student #5 Name:
Student #5 Email Address:
Has this student presented at CCC before?
Clear selection
Rank Order
(1-5)
Clear selection
Past Abstract Text
Please limit to one page
Submit
Clear form
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