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1. Application Form:

Thank you for your interest in applying for (EL)2: Experiential Learning, Engaged Learners. (EL)2, a "Symposium Spotlighting Undergraduate Students’ Exploration, Discovery and Innovation", is Brandeis' only campus-wide, interdisciplinary symposium. We look forward to your participation.


Final Deadline: February 13, 2011

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1. Please provide the following information.

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2. What is your

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3. How did you hear about the symposium? Please be specific.

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4. Students presenting a poster are required to be present during the entire poster session: March 24, 2011 from 4:00-5:00pm. If you have a course requirement during that time, please discuss with Audra Grady, Academic Administrator for Experiential Learning (grady@brandeis.edu).

I am submitting an application to be considered for

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5. If you are applying for more than one opportunity (e.g. a group poster AND an individual presentation), you will need to submit separate applications for each. One application per poster/presentation. I am applying as

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6. If applying as a group project, please provide a list of all who wish to present, including email addresses, majors/minors, and years of graduation.

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7. The title of my presentation is (this title will be used in the event program):

(EX: Role of Stakeholders in the Clean Technology Industry)

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8. In what setting was your project developed? Please check all that apply.

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9. Please provide a description of your project (150 words). This description will be published in the symposium program.

In your description, please answer the following:
1. What did you do?
2. Why did you do it?
3. What did you learn?
4. How can you apply what you learned in your future?

**Performing arts submissions may include a short example of your performance ability and your proposed presentation. CDs, DVDs, and tapes can be dropped off to Audra Grady, 127 Mandel Center for the Humanities (or mailed to MS 092). Electronic submissions and web links may also be emailed to grady@brandeis.edu.

You may see a sample at www.brandeis.edu/experientiallearning/events/descriptionexample.html

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10. Undergraduate presenters must have a conference mentor who can help them with presentation preparation. Do you have a faculty/staff mentor or internship supervisor for this purpose? If no, we will match you with a staff or faculty member.

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11. I understand that, as a presenter, I am required to attend a poster/panel preparation session.

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12. What do you hope our community may learn through your presentation? (100-150 words)

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13. Have you received any financial funding from either on-campus or off-campus sources to support your experiential activities? Examples include WOW Fellowships, NIH Grant Funds, Jane's Travel Grants, etc. Please indicate all that apply.

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14. What experiential learning courses have you taken at Brandeis? Please include any courses awarding credit for community-engaged learning or academic internships.

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15. Is there anything else you would like the committee to consider when reviewing your application? For example, a position or honor that you hold such as being a Roosevelt Fellow or a candidate for departmental honors. You may also email a resume to Jackie Kopyt (jkopyt@brandeis.edu) to accompany your application.

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16. If you will need A/V support please indicate here.

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