Your phone number (optional):

Your email address:

Your advisor's name (if a student presentation):

Your department (e.g. Math, Biological and Environmental Science, etc.):

Check one: oral presentation or poster presentation:
oral (15-minutes)
poster

Check one: undergraduate student, graduate student, or faculty member:
undergraduate student
graduate student
faculty member

Title of your presentation:

Abstract of your presentation:

Optional: Provide requests for any special arrangements [e.g. a slide projector? computer? internet access? (and in extreme cases, a special time requirement due to unavoidable circumstances may be considered)] in the box below:

Now press "submit query" if the information is correct; you should get a response confirming that the information was processed.

Please submit your info by the end of day on Friday, April 15, 2005.