2008 AMSA Graduate Research Poster Competition Entry Form

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Please supply all requested information and click submit at the bottom of the page.

I have reviewed the eligibility requirements for the AMSA Graduate Student Research Poster Competition. The following student plans to enter the competition.

All fields with an asterisk (*) are required.

Student Name*:
Institution*:
Department:
Mailing Address:
City:
 State/Province:
Zip/Postal Code:
 Country:
Phone:
 Fax:
E-mail Address*:

Title of Presentation*:

Division* (select one): M.S. Division Ph.D. Division

By submitting this form, I certify that the student named above, who will enter the AMSA Graduate Student Research Poster Competition fully meets the eligibility requirements established by AMSA. The research to be presented was conducted by the student during his/her graduate training.


Name of Major Professor*

Major Professor e-mail address*

     

 

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