UG Symposium Registration Instruction Undergraduate Symposium - Spring 2016 Registration This is the SAMPLE registration form for the Undergraduate Symposium on Friday, April 29, 2016. You may use this document to prepare your submission but you will NOT be able to submit it; you should use the online form which will become available in early February. READ THESE INSTRUCTIONS CAREFULLY. Please enter ALL needed information about you (and co-authors, if any) and the details about your presentation. Your co-authors should NOT register separately. As you work through the form, you should use the 'Save' button on each page. You may close the browser and return to your registration form later to make any changes or edits until the deadline. Once you submit (by selecting "Done" on the last page), you will not be able to make changes. If you will be registering for more than one presentation, you will need to complete and submit the one registration PRIOR to registering another presentation (only 1 registration form can be available for editing). Registration period: February 8- March 14, 2016. Late Registration will NOT be accepted. Registrant Information Which category best describes you? (e.g., Undergraduate student; Graduate Student; Faculty; Staff) Your First Name: Your Last Name: Your Phone Number: (Best option to reach you or leave a message. Please include Area code) You NAU user ID: (Example: abc123) Your preferred email address: (example: xxx987@nau.edu) Department of your major: (This is the department which offers your declared major. This MAY NOT be the department that is represented by your presentation.) Home College. (Select the college that best fits your major department or affiliation. Choose from the drop down list. What semester do you expect to graduate from NAU? (e.g., Spring 2016, Summer 2016, Fall 2016…etc.) Project Mentor(s) Information FIRST NAME Of PRIMARY project mentor (or sponsor) (do NOT enter a title such as Mr., Ms., or Dr.) LAST NAME Of PRIMARY project mentor (or sponsor) (do NOT enter a title such as Mr., Ms., or Dr.) Email address of PRIMARY mentor: (example: xxx987@nau.edu; firstname.lastname@nau.edu) FIRST NAME of SECONDARY project mentor (or sponsor), if any (do NOT enter a title such as Mr., Ms., or Dr.) LAST NAME of SECONDARY project mentor (or sponsor) (do NOT enter a title such as Mr., Ms., or Dr.) Email address of SECONDARY mentor: (example: xxx987@nau.edu; firstname.lastname@nau.edu) Please list the name(s) of any other mentor(s) not listed above who have supported Presentation Description Abstract should clearly state the problem, issue, or concept being investigated or demonstrated -summarize the project -be readable by a non-technical, educated audience minimize the use of, and explain, technical jargon -describe the broader interest or impact of the project Example of good abstracts in business, creative arts and design, humanities, sciences, and social sciences for general audiences can be found using this link on the UG Symposium webpage. http://nau.edu/uploadedFiles/Administrative/University_College/Undergraduate/Sample%20 Abstracts%20PoH%20NCUR.pdf Title (The title of your presentation as you would like it to appear in the Symposium Program. Please note: If you need special characters or symbols, please use words and we will try to translate them when formatting the program, for example alpha,beta, degrees, integral and etc.) Abstract (Brief paragraph or two describing your project limited to 250 words. Please note: if you need special characters or symbols, please use words and we will try to translate them when formatting the program, for example alpha,beta, degrees, integral and etc.) Total Number of co-authors NOT including yourself, if any. (If there are no co-authors enter 0) The value must be between 0 and 9, inclusive. First Co-author information NAU user ID for the first co-author (example: xyz987) OTHER THAN you. FIRST NAME of the first co-author or co-presenter (Name as it should appear on the program.) LAST NAME of the first co-author or co-presenter. (Name as it should appear on the program.) Which category best describes the first co-author. Is there another co-author? Second Co-author information NAU user ID for the Second co-author (example: xyz987) OTHER THAN you. FIRST NAME of the second co-author or co-presenter (Name as it should appear on the program.) LAST NAME of the second co-author or co-presenter. (Name as it should appear on the program.) Which category best describes the second co-author. Is there another co-author? First Co-author information NAU user ID for the third co-author (example: xyz987) OTHER THAN you. FIRST NAME of the third co-author or co-presenter (Name as it should appear on the program.) LAST NAME of the third co-author or co-presenter. (Name as it should appear on the program.) Which category best describes the third co-author. Is there another co-author? Fourth Co-author information NAU user ID for the fourth co-author (example: xyz987) OTHER THAN you. FIRST NAME of the fourth co-author or co-presenter (Name as it should appear on the program.) LAST NAME of the fourth co-author or co-presenter. (Name as it should appear on the program.) Which category best describes the fourth co-author. Is there another co-author? Fifth Co-author information NAU user ID for the fifth co-author (example: xyz987) OTHER THAN you. FIRST NAME of the fifth co-author or co-presenter (Name as it should appear on the program.) LAST NAME of the fifth co-author or co-presenter. (Name as it should appear on the program.) Which category best describes the fifth co-author. Is there another co-author? Sixth Co-author information NAU user ID for the sixth co-author (example: xyz987) OTHER THAN you. FIRST NAME of the sixth co-author or co-presenter (Name as it should appear on the program.) LAST NAME of the sixth co-author or co-presenter. (Name as it should appear on the program.) Which category best describes the sixth co-author. Is there another co-author? Presentation Details Was your project or scholarly activity funded by any of the following sources? (check all that apply) -Capstone Project Sponsor -Center for Microbial Genetics and Genomics (MGGen) -Colorado Plateau Analytical Labs -Ecological Restoration Institute (ERI) -Green Fund -Hooper Undergraduate Research Award (HURA) -Interns-to-Scholars (125) -NASA Space Grant -Native American Cancer Prevention (NACP) -Undergraduate Research Mentoring (URM) -Other, please specify. Presentation Format (Please select the 'best fit' category for your presentation) -poster presentation -Oral presentation -Combined Engineering or Environmental Sciences/Studies capstone oral AND poster presentation -Exhibit (demonstration, painting, film, photo or art exhibit, costume display, etc.) -Performance (play, spoken word, poetry, instrumental, vocal, etc.) Presentation Department (This is the primary department from which the project originates may NOT necessarily be the department of your major. Choose from drop down list.) Presentation College or Affiliation (Select the college or affiliation that best fits your presentation. Choose from the drop down list.) If your presentation college is CEFNS and you will be presenting a poster, select in which judging category your poster should be assigned (research, engineering design, or internships/ENV capstone) If your presentation college is CHHS and you will be presenting a poster, select in which judging category your poster should be assigned (research, service, or scholarly analysis) Inter- or multi-disciplinary presentation departments(s). (if your work is inter- or multidisciplinary, please list additional departments from which your project originates) Special Requirements for presentation, IF any. Notes: (1) ALL posters will be installed on display boards or easels, NOT tables. (2) ALL oral presentations will be scheduled on stages equipped with projectors/screens/microphones. -Table (for exhibit or laptop) Electricity (available for exhibits only, not laptops) -Floor space for performance or exhibit Other, please describe Registration Review Carefully review your presentation description below. If necessary, you may go back to edit these entries. Once you submit your registration by selecting "Done" on the next page, you will NOT be able to return to this form to make additional edits. Your name as it will appear in the program: Title: Abstract: Co-author #1: Co-author #2: Co-author #3: Co-author #4: Co-author #5: Co-author #6: Other co-authors: Presentation format: Special requirements: Presentation affiliation: Note: If the "Back" button does not take you back to all previous pages, "Save" your registration, close the browser, then log-in again. This should fix the problem- we don't know why. Do NOT select "Done" on the next page until all information is correct and you wish to submit your registration in its final form. Registration Completion IMPORTANT INFORMATION Your response will be sent to you NAU email account after you submit this registration by clicking the "Done" button. Do NOT submit until all the information is in its final form. You may "Save" this registration and revise it prior to the deadline listed below. If you are going to registration another presentation, this one must be finalized and submitted first. You will be notified in mid-April of your presentation time and location. Please check for other useful information and updates about the event on the Undergraduate Symposium Webpage: nau.edu/symposium Registration period: February 8- March 14, 2016