curf - Center for Undergraduate Research & Fellowships

Penn

CURF Open House and Research Expo presenter form

I received funding from:

First Name:

Last Name:

Penn ID Number:

School (select all that apply using CTRL+click):

Graduation Year:


Primary Major:

Secondary Major:

Penn Email:

Poster Title:

Faculty Research Mentor (first name):

Faculty Research Mentor (last name):

Faculty Research Mentor’s Department:

Faculty Recommender’s primary school affiliation:


Faculty Research Mentor’s e-mail:

Source of funding for my project:

I have printed my own poster and will not need to use CURF to print it:


I will leave my poster at Bodek Lounge and grant permission for CURF to display my poster at future research events (not required):



© 2014 University of Pennsylvania

CURF, University of Pennsylvania
3601 Locust Walk, The ARCH, Philadelphia, PA 19104
215-746-6488 ·