CPGLO Summit March 6-7, 2017
Please complete this participant form to register for the Summit.
Visit our CPGLO website for more information about the Center and a full list of events: https://healthsciences.ucsd.edu/som/medicine/divisions/physiology/research/centers/cpglo/Pages/default.aspx.
Your first name
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Your last name
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Your email address
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Institution
Department/Division
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Your website
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May we share your name/website with other Summit participants?
Please select events you plan to attend at the Martin Johnson House Monday, March 6, 2017:
If you plan to attend the speed meeting 1-2pm Monday, please list three people from the schedule of presentations or Co-Directors you would like to meet (check website for more information: https://healthsciences.ucsd.edu/som/medicine/divisions/physiology/research/centers/cpglo/events/Pages/default.aspx).
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Please indicate whether you are interested in presenting during the short presentation/poster session Monday afternoon:
Please select events you plan to attend at the Medical Education and Telemedicine (MET) Building Tuesday, March 7, 2017:
Please select one of the following two breakout sessions (1 or 2) you would like to participate in during the 1:30-2:30pm Tuesday workshop in MET:
Please select one of the following two breakout sessions (3 or 4) you would like to participate in during the 2:45-3:45pm Tuesday workshop in MET:
Dietary restrictions
Please provide a song or two that inspires you.
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Please share our email invitation with others, or list the names and email addresses of people you think might like to participate in the Summit, and we'll contact them.
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Leave any comments or questions for the CPGLO Co-Directors here. Thank you!
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