UNDERGRADUATE RESEARCH, ENGAGED SCHOLARSHIP,
AND CREATIVE ACTIVITY EXHIBITION REGISTRATION FORM
Name(s) :
E-mail:
Tel:
TITLE:FIELD OF STUDY:
 Math and Science
 Social Science
 Arts and Humanities
Specific discipline: ________________________
Format of Presentation: Choose one.
Oral Presentation
 Check here if you would like to be considered for a poster if your research is not accepted as an
oral presentation.
Poster Presentation
 Check here if you would like to participate in the research exhibition but not be judged as
competing for the prizes.
Abstract: (100 word maximum) Note: This is the version that will be presented to judges, and it cannot be
revised before the fair. Proofread it before you submit it. Your abstract must include the research design,
sample (if applicable), and summary of results. If results are not yet available, include anticipated results. You
may also want to include a statement about the importance or implications of your study.
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Please list the major elements of work done on this project (e.g. design idea, data collection, data
analysis, and writing) and the percentage of work done by each author for each task. Include your
faculty advisor if they helped on any major tasks. If you are using your advisors data set or conducting a
secondary analysis, be sure to include this in your description.
______ If you used human subjects, please initial here to indicate that you have IRB approval.
Technology Requirements for Presentation: This applies to oral presentations only. Please check all
that apply.
____ Projection
____ Computer
____ Audio
____ Other: Specify:
List all of your classes scheduled for Wednesday:
Advisor Name: ______________E-Mail:_____________ Phone Number: ___________
Abstract and registration form must be approved and submitted by the research advisor
Please fill and send this form by MONDAY, MARCH 28, 2016, 5pm
to: John Chapin at chapin@psu.edu.
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