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Entry #31
AES Student Submission form
Submitted: 2025-04-29 16:54:29
Form Fields
Duplicate
Admin Only
ID: 39
Faculty and/or Staff Mentor(s)
- All student submissions for presentations at AES must have the approval of a WOU faculty or staff mentor. To learn more about this requirement please visit http://wou.edu/pure/academicexcellenceshowcase/students/. The identified and approving mentor(s) will be automatically notified upon completion of this form.
- If you do not have a mentor's approval, please discuss your presentation ideas and proposal abstract with a faculty or staff member and ask them for their approval and sponsorship before completing this form.
- You must have approval BEFORE submitting or your presentation may not be included in AES.
Mentor Email
ID: 30
Mentor Name
ID: 29
First: Andrew
Last: Middleton
Do you have more than one mentor who should be listed for this submission?
ID: 32
No
Has your faculty or staff mentor reviewed your proposal and approved it for submission?
ID: 3
Yes: Yes
Presenters
ID: 4
| WOU Email | First Name | Last Name | vNumber | Major | Year (Senior, Junior, etc.) | Home Town |
|---|---|---|---|---|---|---|
| kvilladiaz22@wou.edu | Karina | Villa Diaz | V00388469 | Nursing | Senior | OHSU |
What type of session are you participating in?
ID: 6
Poster
Select the session topic(s) that best match your poster
ID: 13
- OHSU Nursing Leadership Poster Presentations
Title of your presentation/poster/performance
ID: 7
Evaluating Sheridan School District Comprehensive Substance Use Prevention Plan: Guiding the Development of Evidenced-Based Interventions for Students at Moderate Risk
Are there any accompanists or composers that should be recognized in the program?
ID: 14
Yes
Individuals to be recognized
ID: 36
| Role | First Name | Last Name |
|---|---|---|
| Student Nurse | Jennifer | Parker |
Did your project involve Human Subjects?
ID: 15
Yes
Abstract or image files
ID: 17
I will add both an abstract and an image/video file now (artwork or video submissions only)
Abstract
ID: 21
Please review attached presentation and abstract.
Image File
ID: 22
Do you give us permission to publish your work online in partnership with Hamersly Library?
ID: 16
Yes
Would you be interested in submitting your work to PURE Insights?
ID: 24
No
Model release statement
ID: 18
Yes
Are you willing to allow WOU to make a video recording of your session?
ID: 23
Yes, but I want to know one or more weeks before AES
Notes/Comments
ID: 26
Thank you!
Name
Hidden
ID: 33
First: Karina
Last: Villa Diaz
vNumber
Hidden
ID: 34
V00388469
Email
Hidden
ID: 35
kvilladiaz22@wou.edu
