Please list the names of the presenters as they should be printed in the program.

Name of Presenter #1:

E-mail Address of Presenter #1:

Name of Presenter #2:

E-mail Address of Presenter #2:

Name of Presenter #3:

E-mail Address of Presenter #3:

Name of Presenter #4:

E-mail Address of Presenter #4:

Name of Presenter #5:

E-mail Address of Presenter #5:

Name of Institution:

Honors Program/College Information

Title of Presentation:

Please select one of the following formats for your presentation:

Select equipment needed. Check all that apply.

Name of Honors Program/College Director (submission of proposal indicates approval by director):

E-mail Address of Honors Program/College Director:

Abstract (maximum length 100 words):

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