2023 - ACPA/PA Concrete Conference Poster Session Questionnaire

Please reply by no later than Thursday, February 16, 2023

I have (or my advisor has) paid for my registration on-line for the ACPA/PA Concrete Conference. I am a student/professor planning on presenting a 36x48 poster at the ACPA/PA Concrete Conference on a concrete related topic applicable to the transportation community. I will be available to discuss my poster with conference attendees on Wednesday February 21, 2023, between 4:30 and 7:00 pm.

If I have any questions, I will contact Rich Jucha, ACPA/PA by email at RJucha@pavement.com.

Question Title

* 1. Poster Presenter Contact Information:

First Name & Middle Initial

Last Name

College / University

City / State

Email Address

Cell Number

Question Title

* 2. Please indicate your status with your academic institution:

Professor

Doctoral Candidate

Masters Candidate

Undergraduate

Other (please specify)

Question Title

* 3. If a student, please provide the following Information:

Advisor Name

Advisor Email Address

Advisor Phone Number

Month / Year Graduation Anticipated

2023 - ACPA/PA Concrete Conference Poster Session Questionnaire

Please reply by no later than Thursday, February 16, 2023

Question Title

* 1. Poster Presenter Contact Information:

Question Title

* 2. Please indicate your status with your academic institution:

Question Title

* 3. If a student, please provide the following Information:

Question Title

* 4. Title of Your Poster (10-words or less):

Question Title

* 5. Summary of Your Poster (for introduction purposes). Please check for spelling/punctuation and limit your summary to no more than 40-words.

Question Title

* 6. I will provide an easel:

Question Title

* 7. Please initial here:

Question Title

* 8. Date: