Name (printed):                                                                                                                Student ID:                                                   

Student's signature:                                                                                                                                Date:                                      

Talk speaker name and affiliation:                                                                                                                          

Talk title:                                                                                                                                                     

Signature of Faculty member sponsoring the presentation certifying student's attendance at the talk:

In the space below, write a brief summary of the talk. What are the "take home" lessons from the talk?