WSU Day at the Capitol Submission Form

Please fill out the below form and include a summary/abstract of your project.

Student Information

Undergraduate Research OR Community-Based Learning
College Department
First Name
 Last Name
Major Year
Phone Expected Graduation
Permanent Address
 City
State Zip Code
Email





Additional Author Email
Additional Author Email
Additional Author Email
Additional Author Email




Student must attend one of these orientations:
January 23, 2012 - 12:00 p.m.
January 24, 2012 - 12:00 p.m.






Choose a t-shirt size:
 T-Shirt Sizes (Men size):
S M L XL XXL 		   
Mentor Information


First Name Last Name
College Department
Phone

Campus Address (Street Address Only) Email
Abstract Title (mandatory)


Abstract/Summary Submission: the maximum length is 300 words and do not double space. 

An OUR staff will contact you early in Spring semester concerning your submission. If your email address changes, please notify the staff at our@weber.edu.
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Weber State University

Ogden, Utah 84408