* 1. We are excited to welcome you to our beautiful campus for the 9th Annual LMU-DOCM Hospital/Residency Day! Additional details at www.lmunet.edu/hospitalday.  


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

Thanks!

LOCATION:
Tex Turner Arena - Lincoln Memorial University
6965 Cumberland Gap Parkway
Harrogate, TN 33752

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

EVENTS:

OPTIONAL - Tuesday, October 24, 2017
Early Vendor Set-Up: 4:00-6:00 PM
Pre-Event Vendor Reception: 6:30 - 8:30 PM

Wednesday, October 25, 2017
Vendor Set-Up: 7:15-8:15 AM
Continental Breakfast: 7:15-8:30 AM
Dean's Welcome: 8:15-8:25 AM
OMS II: 8:30-10:30 AM
OMSI: 10:30 a.m-12:30 PM
OMS III, OMS IV: 8:30 AM -12:30 PM (as rotation schedule permits)
Alumni/Student Vendor Representative Lunch: 12:30 PM
Vendor Lunch: 12:30-1:30 PM
Breakdown Displays: 12:30-2:30 PM
DCOM Tours: 1:30-2:30 PM

* 2. PRIMARY CONTACT INFORMATION:

* 3. INSTITUTION INFORMATION:

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

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

* 6. Do you plan to set up your display on Tuesday, October 24, 2017, 4:00-6:00 PM?

* 7. Do you plan to attend the Vendor Reception on Tuesday, October 24, 2017,  6:30-8:30 PM?

* 8. Do you have an interest in sharing "give-a-way" items with other Vendors at the Reception? If so, a table will be provided for this.

* 9. VENDORS ARE PROVIDED 1 - 6' TABLE AND 2 CHAIRS FOR HOSPITAL DAY, WEDNESDAY, OCTOBER 25, 2017.

* 10. DO YOU NEED AN ELECTRICAL OUTLET?

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

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

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

* 14. DOES YOUR INSTITUTION ACCEPT MEDICAL STUDENT ROTATORS?

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

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

* 17. IF YOU HAVE GME PROGRAMS AT YOUR INSTITUTION, HOW ARE THEY ACCREDITED? 

* 18. EARLY VENDOR SET-UP - 4:00-6:00 PM, Tuesday, 24, 2017
*Please indicate the number of people attending each event*

* 19. PRE-EVENT SOCIAL - 6:30-8:30 PM, Tuesday, October 24, 2017
*Please indicate the number of people attending each event*

* 20. CONTINENTAL BREAKFAST - 7:15-8:30 AM
*Please indicate the number of people attending each event*

* 21. VENDOR LUNCH - 12:30-1:30 PM - Wednesday, October 25, 2017
*Please indicate the number of people attending each event*

* 22. LMU-DCOM Alumni/Student Vendor Representative LUNCH - 12:30-1:30 PM - Wednesday, October 25, 2017
*Please list name(s) of LMU-DCOM Alumni and/or Student(s) representing your site*

* 23. LMU-DCOM TOUR - 1:30-2:30 PM, Wednesday, October 25, 2017
*Please indicate the number of people attending each event*

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