Official Abstract And Certification Template
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1
2OFFICIAL ABSTRACT and CERTIFICATION
Category
Type Title Here
Pick one only—
mark an “X” in
Type Student Name
box at right
Type School Name, City and State, Country
Animal Sciences
Start Typing the Body of Your Abstract Here Beginning at the Left Margin
Behavioral and
Social Science
Biochemistry
Cellular &
Molecular Biology
Chemistry
Computer Science
Earth Science
Eng: Electrical &
Mechanical
Eng: Materials &
Bioengineering
Energy &
Transportation
Environmental
Management
Environmental
Sciences
Mathematical
Sciences
Medicine and
Health
Microbiology
1. As a part of this research project, the student directly handled, manipulated, or interacted
Plant Sciences
with (check ALL that apply):
Physics and
Astronomy
human subjects
potentially hazardous biological agents
vertebrate animals
microorganisms
rDNA
tissue
2.
This abstract describes only procedures performed by me/us,
reflects my/our own independent research, and represents one year’s
Yes
No
work only
3.
I/we worked or used equipment in a regulated research institution
Yes
No
or industrial setting:
Yes
No
4. This project is a continuation of previous research.
Yes
No
5.
My display board includes non-published photographs/visual
depictions of humans (other than myself):
Yes
No
6. I/we hereby certify that the abstract and responses to the
above statements are correct and properly reflect my/our own work.
This stamp or embossed seal attests that this project is in compliance with all federal
and state laws and regulations and that all appropriate reviews and approvals have been
obtained including the final clearance by the Scientific Review Committee.
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