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Students and faculty are invited to share reports of their recent research, scholarly, or creative activities. Within the past six months. Results of this form may be shared with the Council on Undergraduate Research (www.cur.org) or UIS Marketing.
Student Name (Last Name, First Name):
UIN (9 digit number):
Student Major: (write out completely)
Academic Year:
1st
2nd
3rd
4th
Grad
UIS email:
Phone number (with Area Code):
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