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Alternate Presentation Request Form

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. 

Please note that home department Research Day presentations do not count as CPIN Research Day presentation alternates. 
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First Name:
Last Name:
Email:
 
Supervisor's Name:
Department:
Degree Program:
Expected program completion:
Pick date
Completed CPIN requirements to date (incl. distinguished lectures attendances, research day presentations (if applicable), approved graduate courses completed so far):
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):
Abstract Title:
Presentation Abstract:
Please include all supporting documentation available of your alternate presentation in the fields below.
Supporting documentation (e-program with your presentation details listed, etc.):
Additional supporting documentation if needed:
Supporting documentation url, if applicable:
Please include a brief explanation of why you were unable to present at CPIN Research Day over the duration of your program: