JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Simulation4Safety Conference Submissions
All
Presentations Abstract Submission Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Submission Information
here
Presentation Type
*
e-Poster
Short Oral
Workshop
Industry Co-Workshop
Workshop Duration Requested
25 Minutes
55 Minutes
85 Minutes
Clear selection
Workshop Requirements
Cafe Style Seminar
Simulation Environment
Clear selection
Workshop Level
Beginner
Intermediate
Advanced
Any
Clear selection
Presentation Title
*
Your answer
Lead Presenter (Name & Title, Role)
*
Your answer
Co-Presenter(s) (Name & Title, Role)
Your answer
Contact Details (email(s))
*
Your answer
Information Storage
*
By ticking this box I consent to the information given here being stored electronically
< 75 Word Summary (for programme)
*
Your answer
< 350 Word Summary (Including special requirements)
*
Your answer
References
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report