EDUCATIONAL SYMPOSIUM ABSTRACT APPLICATION

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Abstracts are due by end of day Friday, March 28, 2016. Applicants will be notified no later than April 11, 2016. PLEASE NOTE: Application acceptance requires conference attendance and registration. Conference Date: Friday, May 20, 2016.

NOTE: EACH PROPOSAL INCLUDES A 50 WORD DESCRIPTION THAT WILL BE USED VERBETIM IN THE SYMPOSIUM PROGRAM, A 300 WORD ABSTRACT PROPOSAL USED BY THE SELECTION COMMITTEE, AND EVIDENCE OF DISSEMINATION IF ANY. ("NONE" IS AN ACCEPTABLE RESPONSE.)

LAST NAME (PRIMARY CONTACT) *

FIRST NAME *

CREDENTIALS (MD, PhD, ect.) *

E-MAIL *

SCHOOL AFFILIATION *

UT HOUSTON

UTMB GALVESTON

BAYLOR

OTHER OTHER

DEPARTMENT OR PROGRAM *

CHOOSE THE TYPE OF ABSTRACT YOU ARE SUBMITTING *

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