Center for Undergraduate Research and Fellowships | Penn Previews Research Conference Application

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Penn Previews Research Conference Presenter Application

I received funding from:

If you selected “other”, please name it here:

First Name:

Last Name:

Penn ID Number:

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

Primary Major:

Secondary Major:

Address 1:

Address 2:

City:

State:

Zip Code:

Local Phone Number:

Penn Email:

Project Title:

Please briefly summarize your project in the space provided:
Write Here

Faculty Recommender (first name):

Faculty Recommender (last name):

Faculty Recommender’s Department:

Faculty Recommender’s e-mail:

Faculty Recommender’s Primary School Affiliation:

Your Undergraduate Chair or Program Director:

If you have already created a poster of your project, please upload it in .pdf format here (named appropriately):

(optional) My first choice for presenting would be:

(optional) My second choice for presenting would be:

(optional) My third choice for presenting would be: