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) *
Major *
Research Advisor (last name only) *
Conference Name *
Conference Location (city, state) *
First Day of Travel *
MM
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DD
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YYYY
Last Day of Travel *
MM
/
DD
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YYYY
Presentation Title *
Did you present a poster or a talk? *
Please list all presentation authors. (last, first) *
Brief Summary of your Presentation (4 sentences max) *
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.
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