Poster Presentation Application Form

Poster Author / Applicant
First Name
Last Name
Title/Status (Undergrad, PostDoc, etc)
Affiliation (Institution, Faculty and/or Department)	ie. Concordia University, Psychology
Email

Participation

Specify which theme your poster best fits into:

Biomedical Science and Engineering Research
Clinical Research and Prevention
Community Health Research

If you are a student, please confirm if you will participate in the poster competition:

I confirm that I will enter the poster competition and that I am available on May 22 to give a 5 minute poster presentation

Abstract Details
Title
Authors & Affiliations (include presenter & co-authors) (max 900 characters)
Abstract (max 2000 characters)
Keywords (max 60 characters)

Type the number:

New code in seconds