ATRN 2024 Annual Health Summit Symposium Proposal Submission Form

Please complete the survey below.

The deadline to submit is Monday, July 15, 2024.

Question Title

* 1. Enter your Symposium title below, capitalizing the first word of the title, all major words, and the first word following
a colon, as in the following example: "An Exemplary Project: Implementation of a Community-Academic Program to
Reduce Parental Stress" Download the Abstract Guidelines here.

Question Title

* 2. Enter the full name of the symposium organizer followed by either:
(1) the name of the organization and city and state in which it is located OR
(2) the name of the author's university and college or department.
(Example: Angela R. Gutierrez, Colgate Company, Newtown Indiana)

Question Title

* 3. Enter the email address of the symposium organizer:

Question Title

* 4. Which of the following best describes the presenter's ATRN affiliation?

I am faculty or staff at an ATRN affiliated University

I am a student at an ATRN affiliated University

I am a member of an ATRN affiliated Organization

I hold an individual membership in the ATRN

I am faculty or staff at a non-ATRN affiliated University

I am a student at a non-ATRN affiliated University

I am a member of a non-ATRN affiliated Organization

I am an individual community member not affiliated with the ATRN

I am unsure if my university or organization is affiliated with the ATRN

Question Title

* 5. Select up to three (3) topic areas addressed in the proposed symposium:

Behavioral Science and Health Behaviors (Substance Use, Nutrition, Exercise, Smoking, etc.)

Clinical and Translational Research

Clinical Conditions/Diseases (Cancer, Mental Health, Diabetes, etc.)

Data Access for Community Decision Making

Disease Prevention and Treatment (Drug Development, Mental Health, Pain Management, etc.)

Dissemination and Implementation Science

Environmental Health

Evidence-Based Practice

Health Equity and Engaging Marginalized Communities

Health Literacy, Health Misinformation, Health Communication, Trust in Science

Health Related Policy Implementation and Enforcement

Impact of Bidirectional Learning Between Communities and Their Academic Partners

Impact of Consolidated/Closed Health Organizations in Appalachia

Program Development and Evaluation

Training, Education, and Workforce Development

Translational Health, Informatics, Telemedicine, and Data-Driven Technologies

Other (please specify)

ATRN 2024 Annual Health Summit Symposium Proposal Submission Form

Question Title

* 1. Enter your Symposium title below, capitalizing the first word of the title, all major words, and the first word followinga colon, as in the following example: "An Exemplary Project: Implementation of a Community-Academic Program toReduce Parental Stress" Download the Abstract Guidelines here.

Question Title

* 2. Enter the full name of the symposium organizer followed by either:(1) the name of the organization and city and state in which it is located OR(2) the name of the author's university and college or department.(Example: Angela R. Gutierrez, Colgate Company, Newtown Indiana)

Question Title

* 3. Enter the email address of the symposium organizer:

Question Title

* 4. Which of the following best describes the presenter's ATRN affiliation?

Question Title

* 5. Select up to three (3) topic areas addressed in the proposed symposium:

* 2. Enter the full name of the symposium organizer followed by either:
(1) the name of the organization and city and state in which it is located OR
(2) the name of the author's university and college or department.
(Example: Angela R. Gutierrez, Colgate Company, Newtown Indiana)