Student Competition Entry Form

Mr.   Miss   Mrs.   Ms.   (please select one)

Name of Student Entering Competition

Mailing Address*

Email Address* (please enter only one)

*Please provide university/institute addresses and numbers.

Tracking # of Abstract Submitted

Title of Abstract

Student Competition
Graduate Student Research Competition
Undergraduate Poster Competition

By submitting this form electronically, I, (Name of Student) certify that the data in the accompanying abstract have not been accepted for publication elsewhere and have not been (nor will be) presented at any national or international meeting prior to the Annual Conference of the International Embryo Technology Society (IETS) for which the abstract has been submitted. If a manuscript containing the same data that are the basis for the abstract submitted to IETS is accepted for publication prior to the time of the competition, I understand that I will become ineligible to compete and that the IETS abstract will be withdrawn immediately. In addition, I certify that the data in the accompanying abstract are original and have been gathered during my degree program.

Name of Major Professor/Faculty Supervisor

Email address of Major Professor (please enter only one)

I certify that the above-named student is currently enrolled in a degree program leading to the following degree:

B.S.  M.S.  Ph.D.  D.V.M.  V.M.D.  M.D.

I also certify that the data in the accompanying abstract have not been accepted for publication elsewhere, have not been (nor will be) presented at any national or international meeting prior to the IETS Annual Conference, have been gathered during the student degree program, and are original. In addition, I understand that if a manuscript containing the same data that are the basis for the abstract submitted to IETS is accepted for publication prior to the time of the competition, the student will become ineligible to compete and that the IETS abstract will be withdrawn immediately.