NJSRC Call for 2024 Presentations

Question Title

* 1. Name (First and Last), & Credentials

Question Title

* 2. Professional title and Organization

Question Title

* 3. At what email address would you like to be contacted?

Question Title

* 4. At what phone number would you like to be contacted?

Question Title

* 5. Please provide the presentation title you would like to submit

Question Title

* 6. The NJSRC 2024 Conference will be held on October 16, 17, and half day on the 18th. Do any of these days pose a conflict to your schedule? If so, please indicate; by selecting the boxes below that apply.

If my talk is selected, I can speak in the late morning on October 16, 2024

If my talk is selected, I can speak in the in the afternoon on October 16, 2024

If my talk is selected, I can speak in the morning on October 17, 2024

If my talk is selected, I can speak in the afternoon on October 17, 2024

If my talk is selected, I can speak in the morning on October 18, 2024

I am NOT available on October 16, 2024

I am NOT available on October 17, 2024

I am NOT available on October 18, 2024

Other (please specify)

Question Title

* 7. Indicate one to three objectives that will be facilitated in your talk

Objective 1:

Objective 2:

Objective 3:

Question Title

* 8. Please provide NJSRC with any additional comments you may have regarding your experience/expertise.

Question Title

* 9. If any, conflicts of interest to disclose?

Yes

If yes, please indicate below

Question Title

* 10. Do you require hotel reservations?

Yes

If yes, please indicate your request

Question Title

* 1. Name (First and Last), & Credentials

Question Title

* 2. Professional title and Organization

Question Title

* 3. At what email address would you like to be contacted?

Question Title

* 4. At what phone number would you like to be contacted?

Question Title

* 5. Please provide the presentation title you would like to submit

Question Title

* 6. The NJSRC 2024 Conference will be held on October 16, 17, and half day on the 18th. Do any of these days pose a conflict to your schedule? If so, please indicate; by selecting the boxes below that apply.

Question Title

* 7. Indicate one to three objectives that will be facilitated in your talk

Question Title

* 8. Please provide NJSRC with any additional comments you may have regarding your experience/expertise.

Question Title

* 9. If any, conflicts of interest to disclose?

Question Title

* 10. Do you require hotel reservations?

Question Title

* 11. Any other requests? Please indicate below.