CHIP-CSCH-Neag Networking Event RSVP

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Collaborative Research in School and Child Health

Co-sponsored by:
UConn Neag School of Education
Collaboratory on School and Child Health (CSCH)
UConn Center for Health, Intervention, and Prevention (CHIP)

Thursday, November 12, 4:00pm-6:00pm
Gentry 144, 249 Glenbrook Road, Storrs

Name *

Title *

Department *

Are you a CHIP Affiliate? *

Yes

Are you a CSCH Affiliate? *

Yes

Please inform us of any dietary restrictions you may have:

Email *

Phone

Please provide a short bio (300 words or less)

These will be compiled in a booklet distributed at the event.

I am interested in giving a short (2 min) presentation on my research interests *

Yes

Please provide us with any additional questions or comments.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Connecticut. Report Abuse

Forms