Thank you for submitting your application abstract for the Ninth Annual Undergraduate
Research Symposium!

Please print this page, fill in the appropriate information, sign it and turn it in to the
Office of Undergraduate Research (LI 58 or MC 2912) by February 11, 2013.

SIGNATURE INFORMATION

Student Name (first, last):  _______________________________________________________ 

Presentation Title:  _____________________________________________________________ 

Signature of Student Presenter: ________________________________  Date:  ____________ 

Signature of Faculty Advisor:  __________________________________   Date:   ___________ 

Faculty advisor signature affirms that:

• They have reviewed the submission and found it acceptable for presentation at the
  WSU Undergraduate Research Symposium. 
• They agree to help the student prepare for the presentation.

T-SHIRT AND POSTER SESSION SOCIAL INFORMATION

Please list the names of the presenters, including the mentor. Indicate who is attending the poster session
social (this is a closed reception for researchers who participated in the symposium only) and
what size shirt you would like (one shirt per presenter and mentor): 

Mailing Address:
Office of Undergraduate Research
2912 University Circle
Ogden, UT  84408-2912

Physical Address:
Office of Undergraduate Research is located in the
Library, Room 58
(Office Hours:
Monday 8:30-4:30
Tuesday 12:30-4:30
Wednesday 8:30-4:30
Thursday 8:30-4:30
Friday 8:30-2:30) 

Phone: 801-626-8541
Email: our@weber.edu