Van Liere Convocation/Research Day
Abstract Submission Form

March 9, 2012

Please complete this form and select the "Submit Abstract" button when you are finished:

Abstract to be considered for: (choose carefully, one or both)
 
  Research Day Poster

Applicant Information:
Type:
Last:
First:
Email:
Degree Sought:
 If "Other", include your degree type:

* If a Graduate Student, select your program: 
If Other, include your program: 

Your School:
* Your Department:
(fill in if NOT a graduate student)
Enrollment Date in Current Program:
(xx/xx/xx) (Students Only)
Total number of years in program (including transfers from another school, if applicable)

Collaborators:
Author 1
Author 2
 
Last Name:
First Name:
Title:
Last Name:
First Name:
Title:

Author 3
Author 4
 
Last Name:
First Name:
Title:
Last Name:
First Name:
Title:

* Research Advisor (or mentor you worked under for this research project)
Last Name:
First Name:
Title:

Poster Category:
  Basic Sciences
Clinical Sciences/Epidemiology
Masters Student
Post Doc

 Undergraduate
Clinical Fellow
Resident
Type your Abstract AND Abstract Title in the spaces provided below.

The Abstract can be a single paragraph or multiple paragraphs, but it should NOT contain separate headings, i.e. methods, results, and/or conclusions. The Abstract should not exceed 325 words in the abstract body.  

Do not indent and do not include symbols - spell out all special characters, i.e. Alpha, Beta, etc. The Abstract should represent your own efforts; your research advisor should not write it. However, we encourage your advisor to check the interpretation of the data, your organization of the material and your conclusions.

Abstract Title (100 characters max)

Abstract (325 words max)