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Kingsborough Fall 2016 HONORS SYMPOSIUM Application Form
Monday, November 7th, 2016, 3-5:00PM, MAC Rotunda; Application Deadline: day, October 31st, 2016

Student Information. (**=Required fields)
First Name:  
Last Name:
Email Address:
Home Address:
City:  State:  Zip:
CUNYfirst/Empl.ID: **  
Course, Section, Semester in which you completed the course/project
Course Name:

Section #:
           Faculty Member's Name:   
Faculty Email:  
Faculty Phone:  
Faculty Office Number:  
Details of Your Presentation
Choose presentation
Presentation Format:  ** 
Presentation Title:
Special Requirements for your presentation
A Laptop
An easel or
other stand
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.

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:

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: Monday, October 31ST, 2016 **