Student Scholarship Recognition Day

Application Form

Submission Deadline:   Tuesday, February 24, 2015

Individual Presentation: Individual authors or co-authors who wish to partake in a single presentation must include name, email address, major(s), and class level for each co-author.

Pre-organized Panels: If you wish to apply for the same panel as other presentations (as a group of presentations), please include a panel title below.  A separate application must be submitted for EACH presentation within a panel.

All author and abstract information will be published EXACTLY as submitted.  Please proofread all entries thoroughly.  A copy of this application will be emailed to both you and your faculty sponsor. It is the student's responsibility to contact the faculty sponsor for support or guidance of the presentation.  All corrections to a previously submitted application should be emailed to ssrd-chair@willamette.edu.

Please Note: Required fields are in red.


Author Information

First Author

Name:* (Last, First)
Email:* (e.g. asmith@willamette.edu)
Major:*
Second Major:
Graduation Year:*

Second Author

Name:* (Last, First)
Email:* (e.g. asmith@willamette.edu)
Major:*
Second Major:
Graduation Year:*

Third Author

Name:* (Last, First)
Email:* (e.g. asmith@willamette.edu)
Major:*
Second Major:
Graduation Year:*

Fourth Author

Name:* (Last, First)
Email:* (e.g. asmith@willamette.edu)
Major:*
Second Major:
Graduation Year:

Fifth Author

Name:* (Last, First)
Email:* (e.g. asmith@willamette.edu)
Major:*
Second Major:
Graduation Year:

Sixth Author

Name:* (Last, First)
Email:* (e.g. asmith@willamette.edu)
Major:*
Second Major:
Graduation Year:

Presentation Information

Presentation Title:*
Pre-arranged Panel: Is this presentation part of a pre-arranged panel? (Click here for more information.)
Yes
No
Panel Title: Help IconIf presenting as part of a pre-arranged panel, enter the title here. (optional)
Presentation Abstract: (100 words max.):* Abstracts will be published as they appear on this application, please make certain that they are well edited. (Click here for examples)
Class/program for which you are doing or have done this project: (optional)
Faculty Sponsor's Name:* Help Icon
Faculty Sponsor's Email:*
Type of project: Oral presentation
Poster presentation
Music performance
Theater performance
Film screening
Other
If you indicated a project type of "Other" above, please describe what it is.
If your project is a music performance, theatre performance, film screening or "other," please tell us how long it will take.

Permissions

Library Archive: Help IconI would like the Mark O. Hatfield Library to digitally archive my paper/project in the Willamette Collection & I give my permission to archive it. (Click here for more information.)
Yes
No
Videotaping: It is okay to videotape my presentation.
Yes
No
Photography: Yes
No

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For questions, contact SSRD Committee Chair  (ssrd-chair@willamette.edu)

Submission of this application does not guarantee acceptance. Preference is given to graduating seniors.

This application will be sent to the SSRD Committee for review.