* 1. Please enter your full name, affiliation, status, and email.

* 2. Will you be presenting a poster?
(Please note that posters do not need to already include green chemistry for consideration. However, all presenters are invited to look for opportunities to talk about green chemistry within the context of their research. Posters from previous conferences are welcome.)

* 3. If you are presenting a poster, please enter the presenter name, authors, and poster title.

* 4. If you are presenting a poster, please enter a short (200 words) abstract for your poster

* 5. On Wednesday, May 23rd we will host an optional crash course in green chemistry from 3 - 5 pm, will you be attending?

* 6. How did you hear about the "Green by Design: Advances in Chemistry and Engineering" Symposium?