CONTACT
INFORMATION
* Title:
Dr.
Mr. Miss Ms. Mrs.
* Last
Name:
* First
Name:
Middle
Name:
* Email
Address:
PERSONAL
INFORMATION
* Gender:
Please Select Gender
Female
Male
US Citizen:
Please Select Yes or No
Yes
No
Race
&/or Ethnic Origin:
Please Select Race/Ethnicity
American Indian/Native America
African American/Black
Asian/Pacific Islander
Hispanic/Latino
White/Caucasian
Other: Please Specify
If
Other, please specify
PLEASE
NOTE: NSF requests demographic
information for all graduate students
involved in PROMISE activities.
Thank you for assisting in our
efforts!
CURRENT
EDUCATION INFORMATION
* Educational
Institution & Department:
UMB
Please Select Department or Program
DENT-SPECGR Dentistry Graduate Non-Degree
DHYG-MS Dental Hygiene
DOBI-MS Oral Biology
DOCB-MS Oral & Craniofacial Biology
DOCB-PHD Oral & Craniofacial Biology
DPAT-MS Oral & Experimental Pathology
DPAT-PHD Oral & Experimental Pathology
EPID-PHD Epidemiology
GERO-PHD Gerontology
HGEN-MS Human Genetics
HGEN-PHD Human Genetics
MANA-PHD Anatomy and Neurobiology
MAPE-MA Applied & Professional Ethics
MBIC-MS Biochemistry
MBIC-PHD Biochemistry
MD-SPECGR Medicine Grad Non-Degree
MEDT-MS Medical & Research Technology
MEES-MS Marine Environmental Estuarine
MEES-PHD Marine Environmental Estuarine
MMCB-PHD Molecular & Cell Biology
MMIC-PHD Microbiology & Immunology
MPET-MS Pharmaclgy Expermtl Theraputcs
MPET-PHD Pharmaclgy Expermtl Theraputcs
MPHY-MS Physiology
MPHY-PHD Physiology
NACS-PHD Neuro & Cognitive Sciences
NURS-BSNPHD BS in Nursing/Ph.D.
NURS-MS Nursing (MS)
NURS-PHD Nursing (PhD)
NURS-SPECGR Nursing Graduate Non-Degree
PATH-MS Pathology
PATH-PHD Pathology
PHAR-PHD Pharmaceutical Sciences
PHAR-SPECGR Pharm Graduate Non-Degree
PHSR-PHD Pharmaceutical Health Serv Res
PREV-MS Epidemiology & Prev Medicine
PTRS-PHD Physical & Rehabilitation Sci
SOWK-PHD Social Work
SOWK-SPECGR Social Work Grad Non-Degree
TOXI-MS Toxicology
TOXI-PHD Toxicology
UMBC
Please Select Department or Program
Biochemistry
Biological Sciences
Chemical and Biochemical Engineering
Chemistry
Civil and Environmental Engineering
Computer Engineering
Computer Science
Economic Policy Analysis
Education
Electrical Engineering
Emergency Health Services
Engineering Management
Ethics, Applied and Professional
Gerontology
Historical Studies
Imaging and Digital Arts
Information Systems
Instructional Systems Development
Intercultural Communication
Language, Literacy and Culture
Marine, Estuarine and Environmental Science
Mathematics, Applied
Mechanical Engineering
Molecular and Cell Biology
Molecular Biology, Applied
Neurosciences and Cognitive Science
Physics, Applied
Physics, Atmospheric
Psychology, Applied Developmental
Psychology, Human Services
Public Policy
Sociology, Applied
Statistics
Teaching
UMCP
Please Select Department or Program
Aerospace Engineering (ENAE)
Agricultural & Resource Economics (AREC)
American Studies (AMST)
Animal Sciences (ANSC)
Anthropology (ANTH)
Applied Mathematics & Scientific Computation (AMSC)
Architecture (ARCH)
Art History & Archaeology (ARTH)
Astronomy (ASTR)
Behavior, Ecology, Evolution & Systematics (BEES)
Biochemistry (BCHM)
Bioengineering (BIOE)
Biological Resources Engineering (ENBE)
Biology (BIOL)
Business & Management (BMGT)
Business & Management (BMGT) - Doctor of Philosophy (BPHD)
Business & Management (BMGT) - Master of Business Administration (BMBA)
Business & Management (BMGT) - Master of Science (BMSB)
Business & Management (BMGT) - MBA/JD Joint Program Degree (LMBA)
Cell Biology & Molecular Genetics (CBMG)
Chemical Engineering (ENCH)
Chemical Physics (CHPH)
Chemistry (CHEM)
Civil & Environmental Engineering (ENCE)
Classics (CLAS)
Clinical Audiology (CAUD)
Communication (COMM)
Comparative Literature (CMLT)
Computer Science (CMSC)
Counseling & Personnel Services (EDCP)
Creative Writing (CRWR)
Criminology & Criminal Justice (CRIM)
Curriculum & Instruction (EDCI)
Dance (DANC)
Economics (ECON)
Education Policy, & Leadership (EDPL)
Electrical Engineering (ENEE)
English Language & Literature (ENGL)
Entomology (ENTM)
Family Studies (FMST)
Fire Protection Engineering (ENFP)
Food Science (FDSC)
French Languages and Literatures (FRIT)
Geography (GEOG)
Geography/Library & Information Systems (GELS)
Geology (GEOL)
Germanic Language & Literature (GERM)
Gerontology Certificate (GGCP)
Government & Politics (GVPT)
Hearing & Speech Sciences (HESP)
Historic Preservation (HISP)
Historic Preservation Certificate (HISP)
History (HIST)
History/Library & Information Systems (HILS)
Human Development (EDHD)
Jewish Studies (JWST)
Journalism (JOUR)
Kinesiology (KNES)
Library & Information Services (LBSC)
Linguistics (LING)
Marine-Estuarine-Environmental Sciences (MEES)
Master in Information Management (INFM)
Master of Life Sciences (LFSC)
Material Science & Engineering (ENMA)
Mathematical Statistics (STAT)
Mathematics (MATH)
Measurement, Statistics & Evaluation (EDMS)
Mechanical Engineering (ENME)
Meteorology (METO)
Modern French Studies (FRMS)
Molecular & Cell Biology (MOCB)
Music (MUSC)
Natural Resource Sciences (NRSC)
Neuroscience & Cognitive Science (NACS)
Nuclear Engineering (ENNU)
Nutrition (NUTR)
Philosophy (PHIL)
Physics (PHYS)
Professional Master of Engineering (ENPM)
Psychology (PSYC)
Public & Community Health (PCHL, CHED)
Public Affairs (PUAF)
Public Affairs (PUAF) - Business/Public Management Combined (BMPM)
Public Affairs (PUAF) - Law/Public Management Combined (LMPM)
Public Affairs (PUAF) - MBA/MPM Joint Program Degree (BMPM)
Public Affairs (PUAF) - Policy Studies (POSI)
Public Affairs (PUAF) - Public Management (MAPM)
Reliability Engineering (ENRE)
Second Language Acquisition & Application (SLNG)
Sociology (SOCY)
Spanish Language & Literature (SPAP)
Special Education (EDSP)
Studio Art (ARTT)
Survey Methodology (SURV)
Sustainable Development & Conservation Bio. (CONS)
Systems Engineering (ENSE)
Telecommunications (ENTS)
Theatre (THET)
Urban & Regional Planning & Design (URPD)
Urban Studies & Planning (CMPL)
Veterinary Medical Science (VMSC)
Women's Studies (WMST)
Other: Please Specify
* Are you a Faculty Member?
Please Select Yes or No
Yes
No
* PROMISE Affiliation:
Please Select PROMISE Affiliation
PROMISE Mentor
PROMISE Protegee (Mentee)
PROMISE Partcipant (neither Mentor or Mentee)
* Current
Student Status:
Please Select Current Student Status
Not Applicable
First Year
Second or Third Year
Fourth or Fifth Year
Sixth Year or More
* Degree
Objective
PhD and/or MD - Are you a Doctoral Candidate?
Please Select Yes or No
Yes
No
Masters (MA or
MS)
RESEARCH SYMPOSIUM INFORMATION
Please indicate whether or not you will be able to attend the following sessions during the PROMISE Research Symposium.
* Will you Attend?
TIME
EVENT
Please Select Yes or No
Yes
No
7:30 a.m.
Registration & Continental Breakfast
Please Select Yes or No
Yes
No
8:30 a.m.
Greetings, Opening Remarks and Program Overview
Greetings: Dr. Ann Wylie, Interim Dean, Graduate School, University of Maryland College Park Opening Remarks by PROMISE Co-Principal Investigators:
Dr. Jordan Warnick, University of Maryland Baltimore
Dr. Janet Rutledge, University of Maryland Baltimore County
Dr. Johnetta Davis, University of Maryland College Park
Program Overview: Dr. Renetta Tull, PROMISE Project Director
Please Select Yes or No
Yes
No
8:45 a.m.
Morning Keynote Address Keynote Speaker: Dr. Anne Brodsky, Professor, Department of Psychology, University of Maryland Baltimore Country
Please Select Yes or No
Yes
No
9:15 a.m.
Oral Presentations
Biomedical/Health, Chemical and Life Sciences
10:45 a.m.
Networking Break
Please Select Yes or No
Yes
No
11:00 a.m.
Poster Presentations
Biomedical/Health, Chemical and Life Sciences
Behavioral and Social Sciences, Art, Education and Humanities, Part 1
Please Select Yes or No
Yes
No
12:00 p.m.
Lunch & Mid-Day Keynote Address
Keynote Speaker: Dr. Angela Brodie, Professor, Department of Pharmacology and Experimental Therapeutics, University of Maryland Baltimore
Please Select Yes or No
Yes
No
1:15 p.m.
Oral Presentations
Mathematics, Physical Sciences, and Engineering
Behavioral and Social Sciences, Art, Education and Humanities
2:45 p.m.
Networking Break
Please Select Yes or No
Yes
No
3:00 p.m.
Poster Presentations
Mathematics, Physical Sciences, and Engineering
Behavioral and Social Sciences, Art, Education and Humanities , Part 2
Please Select Yes or No
Yes
No
4:15 p.m.
Afternoon Keynote Address Keynote Speaker: Dr. S. James Gates, Professor, Department of Physics, University of Maryland College Park
Please Select Yes or No
Yes
No
5:00 p.m.
Awards Ceremony and Closing Reception
Food Restrictions &/or Allergies
Other
Special Needs (please list)
Comments/Questions/Concerns