The 5th Annual MSHA Classic Golf Tournament, Annual Preceptor's Conference and Van Zile Scott Lecture will be held September 30 - October 1, 2010, sponsored by The University of Alabama at Birmingham's Department of Health Services Administration. We look forward to your attendance and participation.

Question Title

* Indicate which events you will participate in during the Preceptor's Conference and/or Van Zile Scott Lecture:
Thursday, September 30th, MSHA Classic held at Inverness Country Club
Thursday, September 30th, Inverness Country Club
Friday, October 1st, UAB Campus

  Yes No
Thursday, September 30th (7:30 am - 11:30 am) -- MSHA Golf Tournament - you will also need to complete the MSHA Classic registration at www.uab.edu/mshaclassic
Thursday, September 30th (12:30 pm - 1:30 pm) -- Lunch
Thursday, September 30th (1:30 pm - 5:00 pm) --Roundtable Discussions
Thursday, September 30th (5:30 pm - 7:00 pm) -- Reception and Van Zile Scott Lecture
Friday, October 1st (7:30 am - 12:30 pm) -- Interviews

Question Title

* I cannot attend the Preceptor's Conference.

Question Title

* Please complete the following information about the person attending the Preceptor's Conference (all fields are required).

T