EAR 2011 Meeting Registration Survey

This page is for registration and abstract submission (for those wishing to give a presentation) for the Eastern Auditory Retreat (EAR) meeting that will take place at Yale School of Medicine on June 17, 2011.

All attendees please answer questions 1-8; graduate students and postdocs wishing to submit an abstract please also answer questions 9-13.

CLOSING DATES:

Registration for meeting (no presentation) – June 3, 2011
Abstract submission – May 30, 2011

1. Title

Title Faculty

Postdoc

Graduate Student

Undergraduate Student

Technician

Other (please specify)

*
2. Last Name

Last Name

*
3. First Name and Middle Initial

First Name and Middle Initial

4. Department

Department

5. Institution

Institution

*
6. Contact Information

Contact Information Email Address:
Phone Number:

7. URL of web page (lab and/or your own)

URL of web page (lab and/or your own)

8. Any dietary restrictions?

Any dietary restrictions? None

Kosher

Vegetarian

Vegan

Other (please specify)

9. Graduate Students and Postdocs (more generally, young scientists) wishing to submit an abstract please answer questions 9 - 13.

9. Name of your doctoral or postdoctoral advisor (if applicable)

Graduate Students and Postdocs (more generally, young scientists) wishing to submit an abstract please answer questions 9 - 13. 9. Name of your doctoral or postdoctoral advisor (if applicable)

10. Number of years until you complete your doctoral or postdoctoral training (if applicable)

Number of years until you complete your doctoral or postdoctoral training (if applicable) 0

What type of presentation format would you prefer? Talk

Poster

Either

12. Author:

Author: Presenting author
Presenting author e-mail
Additional author
Additional author e-mail
Additional author
Additional author e-mail
Additional author
Additional author e-mail

13. Title of abstract (capitalize all major words)

Title of abstract (capitalize all major words)

After completing this registration, please email your abstract by June 3, 2011 to < lei.song@yale.edu >. The abstract should be in WORD format, single spaced, in 11 point Times Roman with 1 inch margins. Please name your file as:

EARMEETING - LAST NAME OF PRESENTING AUTHOR

The abstract should be complete and have the following in this order. PLEASE USE TIMES ROMAN (or equivalent), 11 pt font:

Title (as per #15)
Authors (All authors, full name (first, middle initial, last). Presenting author in BOLD)
Author addresses
Body of abstract (maximum 300 words, no figures, but a few references are allowed)
Email of presenting author
LAB URL

EXAMPLE

The Inner Ear of Deep Sea Fish
Xiaohong Deng, Jiakun Song, and Arthur N. Popper
Department of Biology, University of Maryland, College Park, MD 20742

The inner ear is….. [300 words]

yourname@yourschool.edu
lab URL: www.life.umd.edu/biology/popperlab

EAR 2011 Meeting Registration
Exit this survey

Registration Information

1. Title

*
2. Last Name

*
3. First Name and Middle Initial

4. Department

5. Institution

*
6. Contact Information

7. URL of web page (lab and/or your own)

8. Any dietary restrictions?

9. Graduate Students and Postdocs (more generally, young scientists) wishing to submit an abstract please answer questions 9 - 13.

9. Name of your doctoral or postdoctoral advisor (if applicable)

10. Number of years until you complete your doctoral or postdoctoral training (if applicable)

11. What type of presentation format would you prefer?

12. Author:

13. Title of abstract (capitalize all major words)

EAR 2011 Meeting RegistrationExit this survey

Registration Information

1. Title

*2. Last Name

*3. First Name and Middle Initial

4. Department

5. Institution

*6. Contact Information

7. URL of web page (lab and/or your own)

8. Any dietary restrictions?

9. Graduate Students and Postdocs (more generally, young scientists) wishing to submit an abstract please answer questions 9 - 13.9. Name of your doctoral or postdoctoral advisor (if applicable)

10. Number of years until you complete your doctoral or postdoctoral training (if applicable)

11. What type of presentation format would you prefer?

12. Author:

13. Title of abstract (capitalize all major words)

EAR 2011 Meeting Registration
Exit this survey

*
2. Last Name

*
3. First Name and Middle Initial

*
6. Contact Information

9. Graduate Students and Postdocs (more generally, young scientists) wishing to submit an abstract please answer questions 9 - 13.

9. Name of your doctoral or postdoctoral advisor (if applicable)