ASCLS-TN

Thank you for your interest in presenting an educational session at TALC 2019. Please fill out this survey to submit your proposal for faculty consideration. The selection committee will review all proposals and submit a response by January 31st, 2019.

TALC 2019 - ASCLS-Tennessee 
Vanderbilt University Medical Center
Nashville, TN 37232

April 12-13th, 2019

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* 1. Please enter your contact information:

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* 2. What is the title of your presentation?

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* 3. Please list at least 3-5 objectives for this presentation:

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* 4. What is the target audience for this presentation?

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* 5. What experience level would be appropriate for your attendees?

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* 6. Please choose a format for your proposal:

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* 7. Are there additional topic suggestions you would most like to learn about at TALC 2019?

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* 8. How would you like to receive additional information about TALC 2019?

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