Alternate Presentation Request Form

In order to fulfill CPIN program requirement, all graduate students need to present at CPIN Research Day as first author once (Master's) or twice (PhD).

Under special circumstances, students may receive permission for a presentation that is not at the annual CPIN Research Day to be counted toward their CPIN requirement with special approval from the CPIN Committee.

Please fill out the form below to submit your request.

First Name*

Last Name*

Email:*

Supervisor's Name*

Department:*

Degree Program:*

Expected program completion:*

Completed CPIN requirements to date:*

including distinguished lectures attendances, research day presentations, approved graduate courses completed so far

The alternate conference you presented at:*

The alternate conference you presented at that you wish to be considered towards your CPIN requirements in place of a CPIN Research Day presentation.
Please note that home department Research Day presentations do not count as CPIN Research Day presentation alternates

Conference Location

Conference Date

Abstract Title*

Presentation Abstract*

Supporting document*

One file only.
100 MB limit.
Allowed types: pdf.

E.g. e-program with your presentation details listed

Additional supporting document

One file only.
100 MB limit.
Allowed types: pdf.

You can upload one more document here.

Supporting document URL

The URL for your supporting document, if applicable.