Honors Undergraduate Research Virtual Conference Support

* fields are required

* First Name

* Last Name

* NetID

* Are you an Honors student in good standing?

Yes No

* Student Status

* Major

* Departmental Affiliation

* Street 1

Street 2

* City

* State

* Zip

* Phone

* Email

** Please specify the source of funds (i.e. Individual, Department, College, Other).

Registration

Amount Covered

Covered By **

Amount Requested

* Title

* URL/Web Link

* Date

* Will you be presenting or attending only?

Presenting Attending

Presentation Type(if applicable)

Platform Poster

Presentation Title(if applicable)

Confirmation of your abstract's acceptance to the conference (if applicable)
(Must be PDF and less than 5MB)

*Did a faculty member recommend that you attend this conference? Please provide details.

*Please describe why you are interested in attending this conference in a short paragraph.