IYCN Conference Presence Representative Form
For a chance to be considered as an IYCN conference representative please submit this form within 3 months of the conference you intend to participate in. Decisions will be made within 2 weeks of the form submission.
* Required
Email address
*
Your email
List your full name, professional affiliation, and IYCN affiliation (if any).
*
Your answer
List the name, location, and dates of the conference. If available, include a webpage to the conference.
*
Your answer
How does this conference relate to IYCN and its mission?
*
Your answer
What type of IYCN presence is possible at this conference?
*
Poster presentation
Oral presentation (10 - 20 minutes)
Brief oral presentation/elevator pitch (2 - 5 minutes)
Networking & merchandise distribution only
One slide presentation (to be included at the end of your scientific talk)
Required
If you are presenting a poster will you be able to print a poster at your institution for free?
*
Yes
No
Not applicable
Approximately how many attendees are expected at this conference?
Your answer
What IYCN materials would you like to distribute? (Select all that apply)
*
Pens
Business Cards
Stickers
Notepads
Flyers
Pins
Other:
Required
Please comment here if IYCN can help you with any additional needs or requests (optional).
Your answer
After your conference - A brief write-up, with pictures, is due within a week of your conference participation to the Chair of the Conference Presence and Social Media Committees. Lack of compliance with this rules will result in suspension from the IYCN conference presence delegate list.
*
I understand and will follow-up after my event
Required
Send me a copy of my responses.
Submit
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