Send to: Barb Bergman, Media Services Librarian
Room ML83
(507) 389-5952
Campus Mail: ML 3097

I am submitting my work on:

disk     email attachment

Title:

Student name(s):

Contact author (if more than 1 student name is included):

Address:

If you do not regularly use an email account, what is the best way to reach you?

By signing below, you agree to have your research published in the electronic Undergraduate Research Journal. After publication, the author(s) retains the right to present any part of the research in any form in other publications. The Conference Journal reserves the right to reproduce and reprint published submissions for instructional and promotional purposes only. Please be aware that some scientific journals do require exclusive rights to research they publish. If you plan to publish research submitted to the Journal in another journal at a later date, it is important that you are aware of the other journal’s policy on exclusivity rights ahead of time.

Student Signature(s): __________________________________________________________________________

Date: ________________________

I have reviewed the submission for the Conference Journal and I support its potential inclusion in the electronic publication. I understand that I will be acknowledged as the mentor if the submission is accepted. To the best of my knowledge, this research has not been submitted for publication elsewhere, and the student(s) has followed the accepted standards of scientific, creative, and academic honesty and ethics.

Mentor: _____________________________________________________________________________

Dept: ______________________ Office: ____________________ Email: ___________________

Mentor Signature: _____________________________________________________________________

Date: _______________________________