Proposal Registration Form

Name:

Institution/McNair Program:

Summer Address:

City, State, Zip:

Summer Phone #:

E-Mail Address:

Research Title:

Faculty Mentor(Name, Title):

McNair Program Director:

Program Director's Phone Number:

Program Address:

City:

State:

I will make a/an:

Poster Presentation
Oral Presentation

Oral presentations must choose one of the four categories below for judging:

Physical Science	Math	Computer Science
Social science	Biological Science	Health
Humanities	Education

I will need the following equipment:

Carousel Slide Projector (presenter must supply slides)
VHS/DVD player
LCD Projector
Other (please specify below)

Please specify other equipment needs here:

Please type or copy your proposal abstract here. 100 WORDS OR LESS: