OMB No.: 0925-0740
Expiration Date: 09/30/2025

Public reporting burden for this collection of information is estimated to average 3 minutes per response. including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0740). Do not return the completed form to this address.

Registration

Registration deadline Sunday, January 05, 2025

* First Name

* Last Name

* Email

* Degree

TIP: Hold the CTRL/Command key while clicking to select more than one degree

* Institution

* Would you be interested in serving as a poster abstract reviewer?

Yes
No

* Do you plan on submitting an abstract for a poster presentation?

Yes
No

Lunch Order

Day One: Monday, January 13, 2025

Box lunches are available for convenience and are not required. The building cafeteria may be open, but hours and menu options are limited.
Boxes shall consist of choice of sandwich and beverage plus chips, fruit and cookie.

* Sandwich

Uptown Turkey Avocado: oven-roasted turkey, bacon, avocado, lettuce, tomato, mayonnaise
Chicken Pesto: grilled chicken, tomato, arugula, pesto* aioli, house vinaigrette
Carved Ham & Swiss: pecan wood smoked ham, Swiss cheese, tomato, red onion, stoneground mustard
Tomato Mozzarella: fresh mozzarella, tomato, roasted red pepper, arugula, basil, balsamic vinaigrette
None

Beverage

Coke
Diet Coke
Sprite
Bottled Water

Day Two: Tuesday, January 14, 2025

* Sandwich

Beverage

Coke
Diet Coke
Sprite
Bottled Water

If you have a disability and require any assistive device, service, or other reasonable accommodations to participate in this event, please contact John Hare at (301) 670-4990 or John Hare during business hours at least 10 days before the meeting to discuss your needs.

I understand that meeting materials such as name badges, tent cards, and participant lists may be prepared using the exact contact information as entered on this form.

Please review and correct any capitalizations, typographical errors, etc. before submitting this form.

Payment Fee: $0.00

None
Ph.D.
Pharm.D.
Dr.P.H.
Dr.Ed.
D.D.S.
M.P.H.
M.P.P.
M.H.S.
M.S.
M.S.N.
M.S.P.H.
M.Ed.
M.D.
D.O.
M.B.A.
M.A.
J.D.
D.V.M.
D.Sc.
B.S.N.
B.S.
B.A.
A.A.