HTCC Student Research Conference Application Form
Please fill out the following information. Paste your abstract and works cited into the blanks
provided. When you have completed the form, send it as an attachment to
honors@pasadena.edu.
Applicant Information
Name of Applicant #1: _______________________________________________________
Applicant #1 phone number: __________________________________________________
Applicant #1 Email: ___________________________________________________________
Name of Applicant #2: _______________________________________________________
Applicant #2 phone number: __________________________________________________
Applicant #2 Email: ___________________________________________________________
Name of Applicant #3: _______________________________________________________
Applicant #3 phone number: __________________________________________________
Applicant #3 Email: ___________________________________________________________
Updated 12/2018
Name of Applicant #4: _______________________________________________________
Applicant #4 phone number: __________________________________________________
Applicant #4 Email: ___________________________________________________________
Name of Applicant #5: _______________________________________________________
Applicant #5 phone number: __________________________________________________
Applicant #5 Email: ___________________________________________________________
Faculty Mentor: ___________________________________________________________
Faculty Mentor Email: __________________________________________________
Presentation Information
Discipline of abstract (e.g. “Psychology”): _________________________________
Format (check one):
____ Individual Presentation ____ Small Group Presentation
____ Large Group Presentation ____ Poster
____ Performance
Updated 12/2018
Title:
25-Word Description:
250-Word Abstract:
Five Academic sources:
1. ___________________________________________________
2. ___________________________________________________
3. ___________________________________________________
4. ___________________________________________________
5. ___________________________________________________
Updated 12/2018