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West Texas STEM Conference • Registration

REGISTRANT INFORMATION

First Name:

Last Name:

Title:  Mr. Mrs. Ms.

Highest Degree:
No degree yet
B.A. / B.S.
M.S.
Ph.D

Will you be a presenter?
Yes
No

If you are NOT a presenter, would you be willing to be a judge?
Yes
No

Street Address:

Apt. # (if necessary):

City:

State:

Zip:

Phone Number:

Email Address:

Your Institution / Business:

Conference attendees receive a tee-shirt. What size do you prefer? 
Small Medium Large X Large XX Large

PRESENTATION INFORMATION

Type: (You MUST Select One) POSTER ORAL  

Presentation Title:

 

Presentation Author(s): Presenter's Name First

Abstract:

Scientific area which best represents your presentation: (select one)

Biological Sciences:
Biology
Botany
Animal Science
Plant Science
Natural Resources
Microbiology
Molecular Biology
Virology
Genetics
Biomedicine

Physical Sciences:
Chemistry
Biochemistry
Geology
Geochemistry

 

 

 

 

 

 

Applied Sciences:
Petroleum Engineering
Mechanical Engineering
Electrical Engineering
Civil Engineering
Physics
Mathematics
Computer Science

 

 

 

PAYMENT

(No registration fee for UT-LSAMP participants)

Advance Registration: $25.00
Make checks payable to "West Texas Stem Research Conference," and send to:
Dr. Margaret Wade
AHS 125, Midland College
3600 N. Garfield Street
Midland, TX 79705

On-Site Registration: $30.00
(cash or checks only)

CLICK HERE to pay online with your credit card

(Visa, Mastercard, Discover)

Dinner & Tour at I-20 Wildlife Preserve?
Yes
No
(Free-of-charge, but limited to first 200 registrants who selected 'Yes')

 

     

 

 

 

 

 


 

stem2012 West Texas STEM Undergraduate Research Conference

October 5-6, 2012

Midland College

3600 N. Garfield Street, Midland, Texas

 

Contact: Dr. Margaret Wade, Dean of Math and Science Division

Midland College • (432) 685-4615 • mwade@midland.edu

 

 

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Midland College
3600 N. Garfield, Midland, Texas 79705
(432) 685-4500, (432) 570-8805