Registration Form – Sample

***This is a sample of the fields and questions you will see in the actual registration form. Please DO NOT begin a registration form until you are ready to fully submit.***

General Information

First name:

Last name:

Email address:

Participant type:

  • Student Presenter
  • Faculty mentor
  • General guest
  • Coordinating committee member

Institution

  • University of Michigan-Flint
  • Mott Community College
  • Kettering University

Class status

Display This Question: If Participant type = Student Presenter

  • Undergraduate student
  • Graduate student

T-shirt size (student presenters only)

Display This Question: If Participant type = Student Presenter

  • S
  • M
  • L
  • XL
  • 2XL
  • 3XL

Presentation Information

Presentation title:

Presentation type

  • Poster presentation
  • Oral presentation
  • Performance/demonstration

Presentation abstract

Faculty advisor first name

Faculty advisor last name

Faculty advisor department

Faculty advisor institution

  • University of Michigan-Flint
  • Mott Community College
  • Kettering University

Faculty advisor email address

Additional Notes

***NOTE #1: After this, student presenters are allowed to submit the names, email addresses, and shirt sizes for each additional co-presenter.***

***NOTE #2: Student presenters are allowed to submit one other additional faculty advisor.***