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NJSRC Call for 2025 Presentations
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1.
Name (First and Last), & Credentials
(Required.)
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2.
Professional title and Organization
(Required.)
*
3.
At what email address would you like to be contacted?
(Required.)
*
4.
At what phone number would you like to be contacted?
(Required.)
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5.
Please provide the presentation title you would like to submit
(Required.)
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6.
The NJSRC 2025 Conference will be held on October 8, 9, and half day on the 10th. Do any of these days pose a conflict to your schedule? If so, please indicate; by selecting the boxes below that apply.
(Required.)
If my talk is selected, I can speak in the late morning on October 8, 2025
If my talk is selected, I can speak in the in the afternoon on October 9, 2025
If my talk is selected, I can speak in the morning on October 10, 2025
If my talk is selected, I can speak in the afternoon on October 8, 2025
If my talk is selected, I can speak in the morning on October 9, 2025
I am NOT available on October 8, 2025
I am NOT available on October 9, 2025
I am NOT available on October 10, 2025
Other (please specify)
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7.
Indicate one to three objectives that will be facilitated in your talk
(Required.)
Objective 1:
Objective 2:
Objective 3:
8.
Please provide NJSRC with any additional comments you may have regarding your experience/expertise.
9.
If any, conflicts of interest to disclose?
Yes
No
If yes, please indicate below
10.
Do you require hotel reservations? NJSRC will pay for one night. The night prior to your selected lecture or the night post lecture.
Yes
No
If yes, please indicate your request. Prior to lecture or Post Lecture
11.
Any other requests? Please indicate below.
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