Status (select one) High school student High school faculty Freshman Sophomore Junior Senior Graduate student (Master) Graduate student (Ph.D.) Faculty Other

I plan to attend Friday afternoon informal session

I would like to ask for travel support of

Comments:

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I would like to have a presentation

Title of the presentation:

Faculty mentor(s):

Faculty mentor's URL:

Abstract:

For the presentation, I will use Provided computerMy own laptop

Remark. The use of a blackboard/whiteboard will likely not be possible. The provided computer has an internet access (and programs such as IE, PowerPoint, Adobe Acrobat Reader, MS Excell, MS Word).

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Demographic Information (used for grant reporting only):

Major (if applicable)

Minor/Second Major (if applicable)

Gender I choose not to answer female male

Ethnic Background I choose not to answer Caucasian American/Alaskan Native African American Asian Hispanic Other