Private College Scholars at the Capitol - Register for Scholars at the Capitol 2010

Please submit one form for each poster that will be presented at the PCSAC event by your college or university.

Abstracts must be submitted by 1 November 2009, to be included in the abstract booklet.

Please provide the following contact information.

Submitted by (name):
Institution :
Department or Program:
Work Phone:
E-mail Address:

Enter the name(s) of the student(s) who will represent your school at the PCSAC Event.

Poster #1

Student #1

Name:
Department or Program:
Email Address:
Hometown (City/State):

Student #2 (if applicable)

Name:
Department or Program:
Email Address:
Hometown (City/State):

Research mentor of faculty/staff sponsor

Name:
Institution:
Department or Program:
Work Phone:
Mentor's Email:

Poster Information

Title of Poster Presentation
Discipline that most closely fits this poster presentation:
150-200 word abstract for this poster:

Poster #2 (if applicable)

Student #1

Name:
Department or Program:
Email Address:
Hometown (City/State):

Student #2 (if applicable)

Name:
Department or Program:
Email Address:
Hometown (City/State):

Research mentor of faculty/staff sponsor

Name:
Institution:
Department or Program:
Work Phone:
Mentor's Email:

Poster Information

Title of Poster Presentation
Discipline that most closely fits this poster presentation:
150-200 word abstract for this poster:

After filling in the required information, click "Submit" to email it to Augsburg College. There is a $50 registration fee. Please make checks payable to MPCC-PCSAC.

Registration fee is due by November 1, 2009.

Mail payment to:
John Manning, Communications Associate
Minnesota Private College Council
445 Minnesota St, Suite 500
St. Paul MN 55101-2903