Participant Information

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* 1. Participant Information

Please select a division

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* 2. Please select a division

University Information

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* 3. University Information

Which institutional review board (IRB) reviewed the project?

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* 4. Which institutional review board (IRB) reviewed the project?

Please indicate your Institutional Review Board (IRB) review/approval status:

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* 5. Please indicate your Institutional Review Board (IRB) review/approval status:

Will you be registering for the RHAT Conference as well?

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* 6. Will you be registering for the RHAT Conference as well?

Please include Title, Author(s), Institution(s), Limit Abstract to 500 words.
Please also email an abstract to rhat@rhat.org.

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* 7. Please include Title, Author(s), Institution(s), Limit Abstract to 500 words.
Please also email an abstract to rhat@rhat.org.

I authorize the Rural Health Association of Tennessee to publicize my research abstract and poster, and include my information in the conference proceedings.

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* 8. I authorize the Rural Health Association of Tennessee to publicize my research abstract and poster, and include my information in the conference proceedings.

Please send your poster in pdf or PowerPoint format to rhat@rhat.org.
For larger files submit to https://www.dropbox.com/sh/mimr7emst4uuh9w/AABsMQIk53kUNdJc444V8O3ha?dl=0

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* 9. Please send your poster in pdf or PowerPoint format to rhat@rhat.org.
For larger files submit to https://www.dropbox.com/sh/mimr7emst4uuh9w/AABsMQIk53kUNdJc444V8O3ha?dl=0

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