Colorado School of Mines – Department of Geophysics Request to Fulfill GPGN581 Individual Presentation Requirement Student may not schedule his/her thesis defense until this requirement is fulfilled. Student must obtain in advance, thesis advisor’s approval to use requested presentation to fulfill requirement. Student must be enrolled in Geophysics Master of Science program at the time of presentation. Student will maintain regular attendance at Heiland Lectures throughout entire graduate program, unless prevented by a reasonable excuse. Include abstract, or other appropriate documentation, with this form. Submit form, signed by student and his/her thesis advisor, to GAC upon completion of presentation. Student Name: CWID: Semester of Registration in GPGN581: I have completed the GPGN581 individual requirement as described below: Individual Oral or Poster Presentation at a professional meeting: Name of Organization: Meeting/Conference: Location: Date: Presentation Title: Type of Presentation: Oral Presentation Poster Presentation Individual Presentation at GSG Conference on Earth and Energy Research (CEER): Date: Presentation Title: _________________________________ Student __________________________________ Advisor GAC Chairman __________________________________ Department Head