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Student 1


Name:

NetID: (e.g., john.doe, mary.smith)

School Address:

Phone:


Student 2


Name:

NetID: (e.g., john.doe, mary.smith)

School Address:

Phone:


Student 3


Name:

NetID: (e.g., john.doe, mary.smith)

School Address:

Phone:


Student 4


Name:

NetID: (e.g., john.doe, mary.smith)

School Address:

Phone:

Additional Team Members (Enter names and e-mail addresses, please)

Sponsoring Faculty/Staff:


Project Information


Title of Project:

Course Name: (optional)

Course Number: (optional)

Abstract: (Maximum 150 words)

Presentation Format:

Description:

Itemized Budget/Equipment Request:
(Please be as specific and detailed as possible)

Availability on Thursday, April 24th:
(Indicate all that apply)
9:30 a.m. - 11 a.m.
10 a.m. - 11:30 a.m.
11 a.m. - 12:30 p.m.
12 p.m. - 1:30 p.m.
1 p.m. - 2:30 p.m.
We are not available at those times on that day.
We are available any time on that day.



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