Online Registration Form

13th Annual Gilbert S. Greenwald Symposium on Reproduction
September 22 - 23, 2016

For questions regarding registration, please email us at GreenwaldSymposium@kumc.edu

All fields are required except those marked with an asterisk (*).

REGISTRANT INFORMATION

   
   
BA BS MBBS MA MS MD PhD DVM

REGISTRATION

Register for the Gilbert S. Greenwald Symposium on Reproduction and attend the Keynote Lecture, Poster Session, Trainee Mixer and Trainee Elevator Pitches on Thursday, September 22, and all events on Friday, September 23 (includes breakfast, coffee and refreshments during breaks, and lunch on September 23). NOTE: There is a separate fee for the Reception on Thursday, September 22.

Faculty $110
Staff $40
Trainee $40

TRAINEE & SPEAKER LUNCH INTERACTION

On Friday, September 23rd, at the Kansas City Public Library, Helzberg Auditorium on the 5th Floor, we will designate tables for trainees to have lunch with the symposium speakers. This is an excellent chance for trainees to ask questions, get advice and connect with outstanding scientists doing research in reproduction. The cost of this lunch interaction is rolled into your registration fee, so no additional payment is required to attend!
NOTE: Trainee Lunch Interaction with the Plenary Speakers is for graduate students and postdoctoral fellows/associates only.

Not Attending
Attending

If attending, please rank your symposium speaker lunch table preference from 1-4, with 1 being your top choice.

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TRAINEE MIXER

"Trainees: Meet the Trainees," will be held on Thursday, September 22, 2:30 - 3:30 pm, Murphy Lobby , SOM Administration Building. Refreshments will be served. There is no fee for this event and it is open to all postdocs and students.

Not Attending
Attending

TRAINEE ELEVATOR PITCHES

This year at the Greenwald Symposium, trainees will have the opportunity to deliver an elevator pitch in a 1-slide, 1-minute presentation. The purpose of this exercise is to develop a concise and clear explanation of your research that even your grandmother may understand. Efficiently conveying your science to the public as well as to the scientific community is an important skill that will have life-long benefits if you can do it well. The purpose of an elevator pitch is to promote yourself, your skills, or the importance of your research, with the end goal of getting oneself introduced to a targeted person, creating a possibility for future communications, building a professional collaboration, or leading to a job interview. For more information, visit the Trainee Elevator Pitch slide submission form. http://www.kumc.edu/greenwald-symposium/submit-slide-for-trainee-elevator-pitches.html

I plan to participate in the Trainee Elevator Pitch Session:

YesNo

TRAINEE TRAVEL AWARDS

This year, we have funding available to support trainee travel expenses for internal KUMC trainees and external, non-KUMC trainees. In order for a trainee to be eligible for a travel award, you must submit an abstract for poster or oral presentation (abstract submission deadline is Wednesday, August 24th at 11:59 p.m.), and for KUMC trainees, you must also volunteer before or during the symposium.

If you would like to be considered for a Trainee Travel Award, please check the box below. Additionally, in the Payment Method section of the Registration Form, please indicate “Requesting Trainee Travel Award” as your method of payment. We have a set dollar amount available for the Trainee Travel Awards, so the amount of each award will be determined by the number of eligible trainees who apply.

We anticipate contacting selected trainee travel awardees by 4:00 p.m. on Friday, September 2nd, and we will post the awardee names on our website as well.

Trainee abstracts selected for trainee oral presentation will also be contacted by 4:00 p.m. on Friday, September 2nd.

Consider for Trainee Travel Award

RECEPTION

We hope you'll join us for a casual evening of mingling with symposium speakers and colleagues on Thursday, September 22nd from 6:30 - 8:30 p.m. (immediately following the Keynote Lecture), in the Beller Conference Center on the KUMC Campus. Reception includes heavy appetizers, dessert, wine, beer, soda, water, coffee, etc.

Not Attending Reception
Faculty $25
Trainee/Staff $20

Guest $25
No Guest

Total Due:

Method of Payment

CHECK: Please print this page now, make check payable to "The Gilbert S. Greenwald Symposium on Reproduction", and mail payment to:

Stacy McClure
University of Kansas Medical Center
3901 Rainbow Boulevard, MS3050
Kansas City, KS 66160

CASH: If paying cash, you can pay at the registration desk upon arrival at the event, or you can drop off cash payments to Stacy McClure in 3085 HLSIC (KUMC Campus). Please do not send cash via mail.

KUMC Account Number *

Requesting Trainee Travel Award

CANCELLATION/REFUND POLICY: We understand that emergencies arise and plans change, so we ask that you notify us via email as soon as you realize you will not be able to attend the symposium. This will give us a chance to update our head count with the venue, caterers, etc. If you cancel by Monday September 1st, we will provide a full refund within 30 days after the conclusion of the event (you should receive your refund by October 23rd). For cancellations after September 1st, we will withhold a $30 administrative processing fee from your registration and return the remainder to you via check within 30 days after the conclusion of the event (you should receive your refund by October 23rd). Please contact us via email at greenwaldsymposium@kumc.edu if you have questions about this policy. Thank you in advance for your understanding and cooperation.

*QUESTIONS/COMMENTS?

Once you hit "submit", you will receive a confirmation of registration from greenwaldsymposium@kumc.edu. This is not an auto-response, so if you submit the registration on the weekend or after hours, the response will come on the next business day.

Last modified: Aug 31, 2016
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