Chemistry and Biochemistry Student Conference Travel Report
Please enter the following information regarding your recent trip. You may be asked to provide further details to the department.
Your name (last, first) *
Your answer
Major *
Research Advisor (last name only) *
Your answer
Conference Name *
Your answer
Conference Location (city, state) *
Your answer
First Day of Travel *
MM
/
DD
/
YYYY
Last Day of Travel *
MM
/
DD
/
YYYY
Presentation Title *
Your answer
Did you present a poster or a talk? *
Please list all presentation authors. (last, first) *
Your answer
Brief Summary of your Presentation (4 sentences max) *
Your answer
Would you be willing to give a short presentation to the department about your travel experience? *
Please add any additional comments on your trip you think are relevant to the department.
Your answer
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