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Student Scholarship Recognition Day

Application Form

PLEASE NOTE - WE ARE NOT LONGER ACCEPTING APPLICATION FOR 2013 SSRD

Deadline:   Monday, February 25, 2013, 5pm

Individual Presentation: Individual authors or co-authors who wish to partake in a single presentation must include name, email address, major(s), and class level for each co-author.

Pre-organized Panels: If you wish to apply for the same panel as other presentations (as a group of presentations), please include a panel title below.  A separate application must be submitted for EACH presentation within a panel.

All author and abstract information will be published EXACTLY as submitted.  Please proofread all entries thoroughly.  A copy of this application will be emailed to both you and your faculty sponsor. It is the student's responsibility to contact the faculty sponsor for support or guidance of the presentation.  All corrections to a previously submitted application should be emailed to ssrd-chair@willamette.edu.

Please Note: Required fields are in red.

Author Information

First Author

Name:*	(Last, First)
Email:*	(e.g. asmith@willamette.edu)
Major:*	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Second Major:	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Class Level:	SeniorJuniorSophomoreFreshman

Second Author

Name:*	(Last, First)
Email:*	(e.g. asmith@willamette.edu)
Major:*	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Second Major:	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Class Level_2:	SeniorJuniorSophomoreFreshman

Third Author

Name:*	(Last, First)
Email:*	(e.g. asmith@willamette.edu)
Major:*	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Second Major:	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Class Level:	SeniorJuniorSophomoreFreshman

Fourth Author

Name:*	(Last, First)
Email:*	(e.g. asmith@willamette.edu)
Major:*	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Second Major:	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Class Level:	SeniorJuniorSophomoreFreshman

Fifth Author

Name:*	(Last, First)
Email:*	(e.g. asmith@willamette.edu)
Major:*	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Second Major:	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Class Level:	SeniorJuniorSophomoreFreshman

Sixth Author

Name:*	(Last, First)
Email:*	(e.g. asmith@willamette.edu)
Major:*	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Second Major:	American Studies Anthropology Archeology American Ethnic Studies Art History Art Studio Asian Studies Biology Chemistry Chinese Studies Classical Studies Computer Science Earth Science East Asian Studies Economics Education English Environmental Science Exercise Science Film Studies French German History Humanities International Studies Japanese Japanese Studies Latin American Studies Mathematics Music Philosophy Physics Politics Psychology Religious Studies Rhetoric/Media Studies Russian Science Studies Sociology Spanish Theatre Women's Studies Undecided OTHER
Class Level:	SeniorJuniorSophomoreFreshman

Presentation Information

Presentation Title:
Pre-arranged Panel:	Is this presentation part of a pre-arranged panel? (Click here for more information.) Yes No
Panel Title:	If presenting as part of a pre-arranged panel, enter the title here. (optional)
Presentation Abstract: (100 words max.):	Abstracts will be published, so please make certain that they are well edited. (Click here for examples)
Class/program for which you are doing or have done this project:	(optional)
Faculty Sponsor's Name:*
Faculty Sponsor's Email:*
Type of project:	Oral presentation Poster presentation Music performance Theater performance Film screening Other
	If you indicated a project type of "Other" above, please describe what it is.
	If your project is a music performance, theatre performance, film screening or "other," please tell us how long it will take.

Permissions

Library Archive:	I would like the Mark O. Hatfield Library to digitally archive my paper/project in the Willamette Collection & I give my permission to archive it. (Click here for more information.) Yes No
Videotaping:	It is okay to videotape my presentation. Yes No
Photography:	Yes No

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Application Deadline: Monday, February 25, 2013
For questions, contact David P. Craig (ssrd-chair@willamette.edu)
SSRD Committee Chair
Submission of this application does not guarantee acceptance. Preference is given to graduating seniors.
This application will be sent to the SSRD Committee for review.