Student Research & Creativity Exposition Application
Lead Student's Name:*
Fredonia ID*
Local Address:*
E-mail:*
Local Phone:*
Faculty mentor:*
Department:*
Faculty e-mail:*
Title of exhibit*
Type of exhibit/ presentation:*
If oral presentation time is not available during the Exposition, are you willing to do a poster?
If you selected "Other" exhibit/presentation, please describe:
Space and/or equipment needs:
Other space/equipment needs (audio/visual):
Times you are available to present (please check all that apply):
Approval of appropriate committees for human/animal subjects:
PROPOSAL: Please type an abstract of 150 words or less.*
Additional Particpant's Name (optional):
Participant’s E-mail Address:
Local Address:
Phone:
Major:
Additional Participant’s Name (optional):
Participant’s E-mail Address:
Local Address:
Phone:
Major:
Additional Participant’s Name (optional):
Participant’s E-mail Address:
Local Address:
Phone:
Major:
Each participant and mentor will receive a commemorative t-shirt.
Please indicate quantity below.
(One per participant.)
 
SMALL T-shirt, quantity:
MEDIUM T-shirt, quantity:
LARGE T-shirt, quantity:
X-LARGE T-shirt, quantity:
XX-LARGE T-shirt, quantity:
XXX-LARGE T-shirt, quantity:
Submit
*Required