ACDIS 2020: Poster Presentation Application

Thank you for applying to present a poster at the ACDIS 2020 National Conference which takes place May 5-8, 2020, at the Mirage Hotel and Casino in Las Vegas, Nevada. Selected poster presenters will be eligible to receive $200 off their conference admission. Please prepare a one-page description of your poster. The 2020 Conference Committee will review and respond to application by Friday, February 28.

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* 1. Please provide your name, credentials, and contact information.

Name *

Credentials *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Company/Organization *

Email Address *

Phone Number *

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* 2. Please indicate whether you work as a consultant or in the provider/hospital setting.

Provider

Consulting

Other (please specify)

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* 3. How long have you worked in the CDI profession?

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* 4. Are you an ACDIS member? (You do not need to be an ACDIS member to be selected.)

Yes

I don't know

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* 5. Please provide a reference (name, email address, and phone number) of a colleague.

Name

Email address

Phone number

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* 6. Please upload your headshot and professional bio (in one file, please).

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* 7. Please upload a one-page summary (description) of your poster's content.

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* 8. Poster presenters must be able to travel to the ACDIS annual conference and agree to participate in dedicated discussion times during conference networking sessions. Will you be able to participate?

Yes