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* 1. We are excited to welcome you to the inaugural DCOM at LMU-KNOXVILLE Hospital/Residency Day! Additional details can be found at www.lmunet.edu/hospitalday.  

This event is FREE to participate

*** Please answer all sections that apply so we may provide our students with a detailed Exhibitor list - be sure to include your website.

Thanks!

LOCATION:
DCOM at LMU-KNOXVILLE

Lincoln Memorial University-Knoxville
DeBusk College of Osteopathic Medicine
9737 Cogdill Road
Building 2
Knoxville, TN 37932

CONTACT:
Elaine Stapleton
LMU-DeBusk College of Osteopathic Medicine
Office: 423-869-7171 / Cell: 865-978-7933
Elaine.Stapelton@LMUnet.edu

EVENT:
Tuesday, November 5, 2019
DCOM at LMU-KNOXVILLE Hospital/Residency Day
Exhibitor Set-Up: 8:15-9:30 AM

Dean's Welcome: 9:45 AM
OMS I: 10:00 AM-12:00 PM
OMS-III, OMS-IV and Alumni as rotation schedule permits 10:00 AM-12:00 PM


DCOM at LMU-KNOXVILLE Campus Tour: 12:00-1:00 PM

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* 2. PRIMARY CONTACT INFORMATION:

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* 3. INSTITUTION INFORMATION:

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* 4. PLEASE LIST NAME, EMAIL AND PHONE NUMBER FOR EACH ATTENDEE:

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* 5. Will any LMU-DCOM Alumni/Students be participating from your site? 

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* 6. EXHIBITORS ARE PROVIDED 1 - 6' TABLE AND 2 CHAIRS FOR HOSPITAL DAY, Tuesday, November 5, 2019. If you need additional chairs please indicate how many below.

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* 7. DO YOU NEED AN ELECTRICAL OUTLET?

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* 8. DO YOU NEED DCOM at LMU-KNOXVILLE TO SUPPLY A TABLECLOTH FOR YOUR DISPLAY TABLE?

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* 9. DO YOU HAVE ANY SPECIAL REQUESTS? If so, we will make every attempt to accommodate your request. 

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* 10. WILL YOU BE SHIPPING MATERIALS TO DCOM at LMU-KNOXVILLE FOR HOSPITAL/RESIDENCY DAY? 

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* 11. DOES YOUR INSTITUTION ACCEPT MEDICAL STUDENT ROTATORS?

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* 12. IS YOUR INSTITUTION A CORE SITE FOR MEDICAL SCHOOLS?

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* 13. DO YOU HAVE GME PROGRAMS AT YOUR INSTITUTION?

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* 14. DOES YOUR SITE ALLOW STUDENT SHADOWING?

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* 15. DCOM at LMU-KNOXVILLE TOUR - 12:00-1:00 PM, Tuesday, November 5, 2019
*Please indicate the number of people attending each event*

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