School:    Select one Georgetown College Nursing and Health Studies McDonough School of Business Walsh School of Foreign Service Howard University American University George Washington University Trinity Catholic University

    First name:        MI:   

    Last name:   

    Preferred FIRST name for badge:   

    Major:   

    Year of graduation:   

    Local phone number:   

    Email address:   

Faculty preceptor, if any:   

    Name:   

    Department:   

    Phone number:   

    Email:   

Presentation Method (select one)

Easel poster presentation       Poster with computer assistance       Table poster presentation

Please check below if you desire to be considered for one of the four student presentations

Student oral presentation

Presentation Title:   

Area of focus:    Select one Nursing Health Studies-science Health Studies-systems Health Studies-international systems Other

     Please specify other:   

Abstract (must not exceed 300 words, NO EXCEPTIONS) *Please include an author or authors, your school department, purpose, results, and conclusion

Thank you!