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Kingsborough Fall 2014 HONORS SYMPOSIUM Application Form
Monday, October 20th, 2014, 3-5:00PM, MAC Rotunda; Application Deadline: October 15th, 2014

Student Information. (**=Required fields)
First Name:  
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Last Name:

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Email Address:
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Phone:  
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Home Address:
City:  State:  Zip:
CUNYfirst/Empl.ID: **  
Course, Section, Semester in which you completed the course/project
Course Name:

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Section #:
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Semester:
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Year:
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           Faculty Member's Name:   
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Department:
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Faculty Email:  
Faculty Phone:  
Faculty Office Number:  
Details of Your Presentation
Choose presentation
time:
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Presentation Format:  ** 
Presentation Title:  
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A Laptop
An easel or
other stand
Other:Explain:
Abstract: Enter your abstract directly into the textbox below OR paste it in from another text document.
Please note: Limit is 150 words including spaces.
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Major:  ** 
Career Interest:  
Graduation Date or
Expected Graduation:
Month:  Year:  

Special Hobbies/KCC Interest  
Presentation document.
Before Submitting this form, you must upload a copy of your presentation:
Use the browse button to attach your document: Upload box:

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Please make sure you have browsed to and have selected your document and that it appears in the Upload box before you click the Submit button:

             

** FINAL DEADLINE: WEDNESDAY, OCTOBER 15TH, 2014 **