Section I: Personal

First Name*

Last name*

Institutional Affiliation*

Institutional Affiliation (line 2)

Address (line 1)*

Address (line 2)

City:*

State/Province*

Zip/Postal Code*

Country*

Daytime Phone

Email Address*

Are you an AAAS Member?

Yes No

Is this your first AAAS-SWARM Meeting?

Yes No

Are you presenting?

Yes No

Section II: Abstract Submission

• If you are planning to present, please fill out Section II. If not, please proceed to Section III.

Type of Presentation: Poster Workshop Plenary Lecture Special Topic Symposium Paper Oral Contributed Paper

* If you are presenting in a special symposium or workshop, title or name of organizers below:

Disciplinary Section: Agriculture and Horticultural Sciences Anthropology and Archaeology Atmospheric and Oceanographic Sciences Biological Sciences Chemistry Computer and Information Sciences Earth Sciences Ecology and Environmental Science Education Engineering and Industrial Sciences Health Sciences History and Philosophy of Science Physics Psychology Social, Economic and Political Sciences Other (Please specify)

If other, please specify:

For Student Presentations Only:

I would like to be judged for an award: Yes No

For Non-Student Presenters:

I would like to be judged for the Donald J. Nash Memorial Outstanding Presentation Award: Yes No

Abstract Submission for Oral and Poster Presentations:

Name of Presenter if not First Author:

First Author’s Last Name:

First Author’s First Name:

First Author’s Institutional Affiliation (Do NOT include Department):

Second Author’s Last Name:

Second Author’s First Name:

Second Author’s Institutional Affiliation (Do NOT include Department):

Third Author’s Last Name:

Third Author’s First Name:

Third Author’s Institutional Affiliation (Do NOT include Department):

For Presentations with more than 3 authors, provide names and institutional affiliations in the text box below. Follow the example PRECISELY.

Example:

John Doe (University of Colorado), Jane Doe (Oklahoma State University), and Kevin Brown (Oklahoma State University).

Additional Authors:

Title of Presentation (please capitalize all letters):

Abstract: DO NOT hit the Return button. The Abstract must be entered as a single paragraph with wrap-around text. There is a 350 word limit.

Section III Registration and Special Events

Your registration type:

Professional ($100)
University/College Faculty ($65)
Retired Professor/Professional ($50)
Post doctorate ($50)
Undergraduate/graduate student ($25)
High School Poster Presenter and sponsor ($0)
K-12 Teacher ($10)
K-12 Student ($0)
Single day pass (non-presenters only) ($20)

Additional registrations you are sponsoring:
(Type number of additional registrations. Enter names below.)

Family member(s) ($20/each)

Additional Professional(s) ($100/each)

Additional University/College Faculty($65/each)

Additional Retired Professor/Professional(s) ($50/each)

Additional Post doctorate(s) ($50/each)

Additional Undergraduate/graduate student(s) ($25/each)

Additional High School Poster Presenter and sponsor(s) ($0)

Additional K-12 Teacher(s) ($10/each)

Additional K-12 Student(s) ($0/each)

Additional Single day pass (non-presenters only) ($20/each)

Please list names for additional registrations your are sponsoring (one name per line), followed by registration type (e.g., John Doe-undergraduate):

Special Events:

Do you plan to attend the AAAS SWARM Social Mixer ($0) (Friday, April 9, 5:30pm)?

How many?

Do you plan to attend the John Wesley Powell Memorial Lecture 7:30pm, April 8 ($0) ($0)?

How many?

Awards Banquet, Saturday, Apr. 10, 7:30pm

How many?

Menu choice for awards banquet

If you purchased multiple tickets to Awards Banquet, please provide a count for each menu choice in the box to the right (e.g., Chicken-2, Vegetarian-1)