Abstract Submission Form

Please fill in the information below, observing the following guidelines:

The Abstract Submissions are due by: January 21, 2014.

Individuals are permitted 1 (one) abstract / poster submission as presenting author.

Title (150 characters maximum)

Please use sentence case, e.g. “Wnt signaling in development.”
Authors
All authors MUST be listed, with presenting author first, in first initial(s) last name format. (Example: J.W. Smith). Please omit degrees.
Department




Abstract (2000 characters maximum)

Major Approaches Select the approach used for your Research Day Abstract.


Poster Theme Groups Please select the group that your poster best fits

cancer biology

caries biology, materials sciences and restorative dental sciences

cranialfacial biology

dental hygiene

developmental biology

genetics

mineralized tissues and bone biology

oral health and systemic disease

oral infectious, immunological, periodontal diseases

oral sensory, motor and pain neuroscience

patient interactions, underserved populations, patient education

tissue engineering and regeneration; stem cell biology

other

Sources of Support Please list any and all sources of financial support (this includes grant identification numbers and department funds: e.g., NIH DEXXXXX; POM Department Support)
Presenter Information: Please list preferred contact person first. ONLY include those who will be present at the poster. List up to 3 people
Name:  First            Last Email
1. *
2.
3.
Faculty Sponsor
Faculty Full Name Faculty Email
*

List your faculty sponsor's full name, omit degrees e.g. James Smith.
Faculty Approval

I certify that my abstract has been approved by my faculty sponsor, and I have been given permission to present the work at Research Day.



Level of Training
Undergraduate




 
Dental Hygiene

 
DDS Pre Doc


 
**If you're in a MS/Certificate or PhD program indicate the name of your program.
**If you're a Post Doctoral Fellow, include the name of your lab
** Other - Visiting Scholar indicate the lab and program
 





 

Program and/or Lab

Awards Competition

Do you wish to enter this competition and have this poster presentation judged? Presenters have the option of competing with other posters at their level for awards. Posters are judged by faculty members according to certain criteria. Those who choose to compete will be expected to remain at their poster throughout the poster session.


Judging

Do you wish to enter this competition and have this poster presentation judged?