|
Abstract Submission Form
CALL FOR PAPERS
THE SUBMISSION DEADLINE IS APRIL 15, 2010.
Please click here to read the guidelines for submission before you submit your proposal |
|
|
|
Author Information
|
|
Note: Fields marked with an * are required.
|
|
Presenting Author
|
|
First Name:
|
*
|
|
Last Name:
|
*
|
|
Affiliation:
|
*
|
|
|
|
|
|
Mailing Address of Presenting Author
|
|
Address:
|
*
|
|
|
|
|
|
City:
|
State/Prov.:
*
|
|
Postal/Zip:
|
Country:
*
|
|
Phone:
|
Fax:
|
|
Email:
|
*
|
|
|
|
|
|
Co-Authors All coauthors must have given their approval before their names are included.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proposed Paper or Poster
|
|
|
|
|
|
Preferred presentation. Indicate one of the following
*
|
|
Poster or Platform (Oral)
Only Poster
Only Platform (Oral)
|
|
|
|
Select a Category: Please the topic area that best fits your submission. click here for more information on each category.
|
|
*
|
|
Second Choice *
|
|
Third Choice
|
|
|
|
|
|
|
Paper Title: (Please put TITLE IN CAPS)
MAX 20 words *
|
|
|
|
|
|
Abstract * Please click here for a sample abstract. Abstracts must not exceed 35 lines and must include the following 4 sections: Objectives, Methods/Implementation, Results/Discussion and Conclusion/Follow-up
Objectives *
|
|
|
|
Methods/Implementation *
|
|
|
|
|
|
|
Results/Discussion *
|
|
|
|
|
|
|
Conclusion/Follow-up *
|
|
|
|
|
|
|
I would like this abstract considered for the Robert I. Gross Memorial Award
|
|
|
|
|
|
|
Learning Outcomes: In writing outcomes,
answer the question: "What should the participants be able to do?" You must include at least 2 outcomes below.
|
|
Outcome 1 *
|
|
|
|
|
|
|
Outcome 2 *
|
|
|
|
|
|
|
Outcome 3
|
|
|
|
|
|
|
CV or brief bio/resume: *
|
|
|
|
|
|
|
|
|
|
If you are experiencing any problems with the form please contact terry@x-cd.com
|
|
|
|
|
|
|