Title of Project:
Department:
First Author (Last Name, First Name):
First Author's GSU email address:
First Author's Alternate email address:
Co-Author(s):(Last Name, First Name)
1. Email: 2. Email: 3. Email: 4. Email: 5. Email:
Faculty Sponsor's Name (Last Name, First Name):(Must be a Georgia State Faculty Member)
Faculty Sponsor's GSU E-mail Address:
Type of Presentation :
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IRB or IACUC#, if available: