Registration Form

 

21st ANNUAL SIGMA XI POSTDOCTORAL POSTER PRESENTATION

 

Registration Due Date:  COB Tuesday, January 8, 2014

Presentation Date:  Wednesday, February 12, 2014

Awards Reception: Friday, February 14, 2014

 

 

The NIST Chapter of Sigma Xi invites all Postdoctoral Fellows to present a poster on their scientific research to their NIST coworkers and friends. Guest Researchers who have received their advanced degree in the last five years are also welcome to participate. All of the participating Postdocs and Guest Researchers will be invited to the Awards Reception where the most outstanding posters will be announced.

 

A registration fee of $10 for Sigma Xi members and $20 for non-Sigma Xi members will be paid by the Operation Unit (OU) of each registrant.  Individual checks will not be accepted; funds are to be collected directly by Sigma Xi from each OU.  Only one registration form per poster is required.

 

 

 

 

Name of Presenter:      

 

Title of Poster:       

 

Poster Category (select one): Biology, Biotechnology, Chemistry, Engineering, Materials, Mathematics, Physics, or Polymers.

 

 

Presenter Information:

 

Postdoc Program Category (e.g. ARRA, DHS, NIH, NRC, Guest Researcher):       

 

Phone Extension:       

 

Email Address:       

 

Building and Room Address (example: 221/A315):       

 

NIST Mail Stop:       

 

Operation Unit (example: MML):        

 

Division (example: Biochemical Science Division):       

 

Division/Group ID Number (example: 631.04):       

 

Is Presenter a Sigma Xi Member:  Yes   No

 

 

Mentor Information:

 

Name of Mentor:       

 

Mentor’s Phone Extension:       

 

Mentor’s Email Address:       

 

Mentor Approval Obtained:  Yes   No

 

Is Mentor a Sigma Xi Member:  Yes   No

 

 

 

 

Please email a copy of this form to Doug Meier at dmeier@nist.gov with your abstract.