IYCN Conference Presence Representative Form

For a chance to be considered as an IYCN conference representative please submit this form within 2 months of the conference you intend to participate in. Decisions will be made within 2 weeks of the form submission.

Email address *

Please provide your name, title, institution, and relationship to IYCN *

Your answer

Please provide the title, dates, and location of the conference you are attending *

Your answer

Briefly describe here how this conference is relevant to IYCN and its goals *

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)

If you are presenting a poster will you be able to print a poster at your institution for free? *

Yes

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

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 if possible, 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.

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