AM63 Virtual Experience: Poster Submission Form

Please complete this form to submit your entry to be considered.

*Author is limited to 2 Posters; only 1 as Lead Presenter.

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* 1. Poster Category Submitting to (Please choose the category your poster fits into best.) Authors are limited to 1 Poster per category and no more than 2 submissions total:

Policy & Process Improvement

Human Capital

Research on Research

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* 2. Poster Title (50 characters max)

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* 3. Lead Presenter's Name, Institution and contact info including: Email and Phone (Author is limited to leading 1 Poster)

Name

Institution

Email Address

Phone Number

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* 4. By this submission, I certify my submitted abstract and poster is an original work and have no prior ownership or copyright restrictions. I certify the abstract/poster has not been previously copyrighted.

I certify the above statement is accurate.

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* 5. I give NCURA authority to reproduce and publish my poster and abstract in all NCURA publishing outlets including, but not limited to: the Conference Program, the Magazine, and the Website.

I agree to the above terms.