Student Application Form

Research and Creative Activities Symposium

Please Note:

Applications are only accepted from currently enrolled students or recent graduates from the UC Denver Downtown Campus and Anschutz Medical Campus.
All applications must be submitted by 5:00 p.m. on Friday, March 26, 2010. You will be notified of receipt and acceptance within 10 days of submission.
All fields must be completed to submit this form. Incomplete submissions will not be accepted.
View abstract samples.

For more information please contact:

Candy Berryman, RaCAS Coordinator
candace.berryman@ucdenver.edu
303-724-8156

You will automatically receive a copy of your application when you hit the 'Submit' button.

Student Presenter(s)
Note: If there is more than one presenter, list the co-presenter below.

First Name: Last Name:
Student ID: Telephone:
Email:
Status: Major:
Schools and Colleges:

DC = Downtown Campus, AMC = Anschutz Medical Campus

Co-Presenter(s) (If Applicable)

Each presenter is expected to attend the Symposium. Each co-presenter must be identified as members of a team at the time application is submitted.

1. First Name: Last Name:
Major: Schools and Colleges:

2. First Name: Last Name:
Major: Schools and Colleges:

3. First Name: Last Name:
Major: Schools and Colleges:

Additional Co-Presenters:

Primary Faculty Sponsor

Title: Name:
Email:
Department:
Schools and Colleges:

Presentation Description

Title:
Activity Type:

Abstract: (Limit 200 Words-Check your word count before submitting application)
Your abstract will be published in the symposium proceedings.
Please make sure your abstract is complete before you submit your application.
View abstract samples

My faculty sponsor has reviewed and approved my abstract.
(Please note: You must have your faculty sponsor review your abstract prior to submission.)

Presentation format:

	Exhibit: Type of exhibit: (e.g. sculpture, photography, models, designs)
	Poster
	Video
	Streaming Media/Web
	Performance: Type of performance: (e.g. reading, musical composition, monologue, etc)
	Other: Please indicate:

Accommodations

The following equipment is provided by the Symposium Committee.
Please check all of the accommodations/ equipment you will need for your presentation

Easel Wall Space 6' Table Stage (For performances only) Outlet(s) Extension Cords
(Please note: a table and wall space cannot be requested together.)

Presenters are responsible for making their own arrangements for the following equipment.
Ask your faculty sponsor to reserve AV equipment at the Media Center at no charge. Make sure they reference the Symposium when ordering the equipment. 303.556.2426
TV/VCR/DVD Computer Note: You must provide your own computer.

Other - Please specify

Agreements

I am to be nominated by my faculty sponsor for one of 4 Outstanding Research and Creative Activities awards. I understand that, if selected I will be responsible for presenting my research or creative work at the General Session in a 12 minute presentation to faculty peers, and visitors.

I am to allow the use of digital, video, and audio recordings of my presentation, as well as my name, voice, and likeness to promote this event. NOTE: You have the right to refuse.

I would to have my presentation considered for the "Chancellor's Awards" which will be judged the morning of the symposium.

I am to have the electronic file of my presentation used as a display exhibit at different locations, or in newspaper/TV advertising, or in grants that support student-based research.