CONFIRMATION

Thank you for submitting your application abstract for WSU Day at the Capitol!

Please print this page, fill in the appropriate information, have the appropriate signatures and turn it in to the Office of Undergraduate Research (LI 58 or MC 2912) or Community Involvement Center (UB 327 or MC 2113).

SIGNATURE INFORMATION

Student Name (first, last):  _______________________________________________________ 

Presentation Title (mandatory):  _____________________________________________________________ 

Signature of Student Presenter: ________________________________  Date:  ____________ 

Signature of Faculty Mentor:  __________________________________   Date:   ___________ 

Faculty Mentor signature affirms that:

• They have reviewed the submission and found it acceptable for presentation for Posters at State Capitol. 
• They agree to help the student prepare for the presentation.

 

T-SHIRT INFORMATION
Please list the names of the presenters and what size shirt you would like (one shirt per presenter): 

NAME	SHIRT SIZE
Last, First	SM	MED	LG	XL	XXL

 

Mailing Address:                                        
Office of Undergraduate Research              OR                   Community Involvement Center
2912 University Circle                                                                 2113 University Circle
Ogden, UT  84408-2912                                                             Ogden, UT  84408-2113
 
Physical Address:
Office of Undergraduate Research                OR               Community Involvement Center
Library, Room 58                                                                      Shepherd Union Building, Room 327
Phone: 801-626-8541                                                               Phone: 801-626-7737
Email: our@weber.edu                                                             Email: cic@weber.edu
Office Hours: 8:00 AM - 4:00 PM Monday-Friday                     Office Hours: 8:00 AM - 4:00 PM Monday-Friday