Registration Form for the Philadelphia LAN 2020
The meeting will take place on Friday, January 3, 2020 at Lewis Katz School of Medicine at Temple University in Philadelphia, Pennsylvania.
There is no registration fee. On-site registration/check-in will begin at 9:30 am in the lobby of the Medical Education and Research Building.
Please complete and submit your advance registration no later than December 23, 2019. A follow-up email will be sent to registrants to confirm registration and provide additional information as necessary.
Mary Engel and Louise Russo
Philadelphia LAN co-coordinators
If you are a pre-health advisor, which of the following applies?
I am an experienced advisor at my institution
I am a new advisor at my institution
If you are a professional school representative, which of the following applies?
I am a new staff/administrator/faculty at my institution
I am an experienced staff/administrator/faculty at my institution
If you are a professional school representative, will you be participating in the School Update portion of the afternoon program?
Yes, I will be presenting an update for my institution in the afternoon session
No, I will not be presenting an update for my institution but a colleague will do so
No, I will not be presenting an update and neither will a colleague
Telephone number (primary work contact)
Telephone number for alerts on the day of the event
Transportation: Do you intend to drive a car to the event (and therefore make use of the onsite parking option)?
Yes, I plan to drive and park my car at the garage
No, I will not be driving my car but will be carpooling with a colleague who will park at the garage
No, I will be using an alternate method of transportation
Do you have special dietary needs?
If you have special dietary needs, which of the following apply/applies?
Are you interested in the optional tour of the Lewis Katz School of Medicine after the program?
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