Basic Information
a.	Title of talk
b.	Area (choose one): Cognitive, Developmental, Social, Clinical, I/O
c.	Student Author’s Names and Institutions 
d.	First Author’s Address, phone and e-mail
e.	Indicate if the first author is a Psi Chi member Psi Chi member: Yes or No
f.	If data has been collected, did the project go through your college or university’s review for the protection of human subjects? (Yes or No) If you have not yet collected data, please be sure to pursue the proper channels.  IRB approval: Yes, data not yet collected
g.	Please approximate the number of miles between your campus and Chicago, IL? 108 miles
h.	Did students from your campus attend MPA last year? If yes please estimate how many.  Students attended MPA last year: 22
i.	If known, what was the last year students attended MPA? 2008
j.	What is the most likely mode of travel students would be likely to use? Automobile

Faculty Sponsor
a.	Name of faculty sponsor
b.	Faculty sponsor’s address, phone and e-mail

Karl G. D. Bailey. PhD
Andrews University
Behavioral Science, Room 123
10030 Nethery Hall Rd
Berrien Springs, MI 49104-0030
(269) 471-3577
kgbailey@andrews.edu

Herbert W. Helm, Jr., PhD
Andrews University
Behavioral Science, Room 123
10030 Nethery Hall Rd
Berrien Springs, MI 49104-0030
(269) 471-3157
helmh@andrews.edu

Dana L. Kendall, PhD
Andrews University
Behavioral Science, Room 123
10030 Nethery Hall Rd
Berrien Springs, MI 49104-0030
(269) 471-6881
dkendall@andrews.edu