San Francisco State University College of Science & Engineering 2013 STUDENT PROJECT SHOWCASE REGISTRATION FORM Email this completed form as an attachment in MS Word format to science@sfsu.edu by Friday, May 3rd, 2013 COMPETITION REQUIREMENTS: Participants must major in one of the disciplines in the College of Science & Engineering (COSE) in the Fall ’12 or Spring ’13. Projects must be related to one of the fields in COSE. Projects entered in a previous year may not be in the competition (Can be entered as a “Display Only” poster). Participants must complete this registration form and email to science@sfsu.edu by Friday, May 3rd, 2013. Participants must set up their station by 1 pm on May 17(They may leave the premise or walk around to look at other projects from 1-3 pm). Participants must be available from 3-6 pm on May 17 to present their projects Failure to accurately and completely fill out the following information (2 pages with sections A-E) may result in forfeiture of the Prize Money if won. Feel free to add more fields for additional Team Members and/or Faculty Advisors A. Title of the Project B. All Team Members’ Information -.If team member not an SFSU student (a faculty, staff, or students from another institution), please indicate the name of the institution in ‘Major’ field. Information for Team Member #1 ` Participant’s Name SFSU Student ID # Graduate or Undergraduate Email Major (e.g., Engineering) Concentration (e. g., Electrical) Information for Team Member #2 ` Participant’s Name SFSU Student ID # Email Major (e.g., Engineering) Concentration (e. g., Electrical) Participant’s Name SFSU Student ID # Graduate or Undergraduate Email Major (e.g., Engineering) Concentration (e. g., Electrical) Information for Team Member #3 ` Go to Insert Tab and Open Edit Footer to replace this line with Name of Team Member #1 here Page 1 Information for Team Member #4 ` Participant’s Name SFSU Student ID # Graduate or Undergraduate Email Major (e.g., Engineering) Concentration (e. g., Electrical) Participant’s Name SFSU Student ID # Graduate or Undergraduate Email Major (e.g., Engineering) Concentration (e. g., Electrical) Information for Team Member #5 ` C. If won, Prize Money will be disbursed as a Scholarship Check. Check one of the following methods. One check with the full Prize Money goes to (This name must be listed as one of the Team Members listed in Section B) Equally divided among the Team Members who are COSE students only if the amount of each check is at least $75.00. If the divided amount is less than $75, one check with the full Prize Money goes to (This name must be listed as one of the Team Members listed in Section B) D. Faculty Advisor’s Information 1 Will this Faculty Advisor be listed as part of team members? Yes No ` Faculty Advisor’s Name Title (PhD, MD, etc. Email Institution and Department Will this Faculty Advisor be listed as part of team members? Yes No ` Faculty Advisor’s Name Email Title (PhD, MD, etc.) Institution and Department II E. A Brief Description of the Project (an Abstract): You may use additional page Go to Insert Tab and Open Edit Footer to replace this line with Name of Team Member #1 here Page 2