1. Student Presenter(s)
2. Major:
3. Institution:
4. Student Phone:
5. Student Contact E-mail:
6. Faculty Advisor(s):
7. Department:
8. Faculty Phone:
9. Faculty Contact E-mail:
10. Abstract Title:
11. Abstract Author(s):
12. Abstract (max. 200 words, including acknowledgements):
13. Please choose the neuroscience theme that best describes your abstract: Choose One Theme Development and Genetics Mechanisms and Plasticity of Function Sensory and Motor Function Homeostatic and Neuroendocrine Systems Cognition, Emotion, and Motivation Nervous System Disorders and Treatments Techniques and Methodologies History and Teaching Other (Please Specify Below)
Other Theme:
14. At what level have you performed your research? (check all that apply) Computational Molecular and Biochemical Cellular Circuits and Systems Animal - Nonhuman Animal - Human Other Level (Please Specify Below)
Other Level:
15. Please indicate your preferred presentation format: PowerPoint Presentation (Choose Platform in Question 16 Below) Poster Presentation No Preference
16. If a PowerPoint presentation, which platform will be used to create the presentation? PC Mac
17. Please indicate any other special AV requirements:
Last Updated: February, 2008