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The 2019 U.S. Army Medical Department Center and School, U.S. Health Readiness Center of Excellence, Graduate School Research and Education Symposium

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* 1. Name: (Last, First, Middle Initial)

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* 2. Rank/Prefix

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* 3. Title

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* 4. Preferred name on nametag (if different than above):

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* 5. Email Address

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* 6. Address:

Street:

City:

State:

ZIP/Postal Code:

Phone Number:

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* 7. Organization

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* 8. Army Graduate School Program Affiliation

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* 9. Registration Type

Faculty (Assistant/Associate Professor, Professor, or Senior Clinical Researcher)

Graduate Student

Other (please specify)

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* 10. Please provide an emergency contact name and telephone number in case of an onsite emergency. Please note, this person may need to be contacted during non-business hours.

Name:

Telephone number:

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* 11. I plan on attending

Tuesday the 7th of May, 2019

Wednesday the 8th of May, 2018

Both days

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* 12. Pursuant to the Americans with Disability Act, do you require specific aids or services?

Visual

Audio

Mobile

None

Other (please specify)

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* 13. If attending the faculty development day (May 7th), we will have two breakout session periods. You may choose between one of two sessions for each period. The sessions will be filled based on order of registration until at capacity. If your first preference is full, we will register you for your second or third preference. You may select any session for each time period (i.e. you do not have to attend all sessions of the Research or Curriculum/Teaching tracks).

Breakout Session #1 (1030-1200) on Tuesday the 7th of May 2019. Please rank your preference of attendance.

Research Track-- Grant Writing 101: How to successfully write a NIH grant

Curriculum Track-- Facilitating Discussion

Teaching Track- Canvas Tutorial

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* 14. Breakout Session #2 (1300-1430) on Tuesday the 7th of May 2019. Please rank your preference of attendance.

Research Track-- Navigating the IRB Process

Curriculum-- Incorporating Competencies into Curriculum

Teaching Track- Teaching Strategies for Dealing with Difference Among Students

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* 15. Breakout Session #3 (1500-1630) on Tuesday the 7th of May 2019. Please rank your preference of attendance.

Research Track-- Statisitics in Medical Research

Curriculum Track-- Practial Teaching Strategies based on How Students Learn

Teaching Track- Funding Opportunities from the DoD

Thank you for registering for the 2019 Graduate School Research and Education Symposium.

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