NISA 2023 Registration Form 
Theme: "Bridging the Implementation Science Gap: Strategies for Successful Translation of Evidence into Practice."

We invite all NISA conference participants to submit a 300-word abstract for oral presentation at the upcoming conference on August 17th & 18th 2023 in Abuja, Nigeria. The NISA Scientific Committee will review and select 10 abstracts that will be invited for a 10 minute oral presentation during NISA Day 2 Conference!
Deadline: Abstracts submission deadline has been extended to 11:59 pm WAT on June 30th 2023
Email *
Payment Reference Code *
Name *
Gender
Clear selection
Phone Number
Email *
Please specify your Credentials/Degrees
Clear selection
Name of institution you are currently employed or affiliated with *
Which SINGLE area do you identify yourself with the most?
Clear selection
What is your SINGLE primary area of interest for Implementation Science?
Clear selection
Do you plan to submit an abstract for NISA 2023?
Clear selection
How do you plan on attending
Clear selection
Would you like to attend NISA workshops focused on research skills and implementation science throughout the year?
Clear selection
How do you plan on attending gala night on the second day?
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy