NEGEA 2013 Annual Retreat
Presenter Information Form
Due Monday, February 11, 2013
1. Primary Presenter Name:
2. Primary Presenter Rank: select one
Faculty
Resident
Student
Other
3. Abstract Title:
4. Abstract Type: select one
Workshop/Problem Solving Session
Short Communication
Poster
5. List all authors in the order they should appear in the program. The primary presenter
listed in Question #1 above will be shown in bold font, regardless of position in sequence below.
Please use format “first name [space] last name” [e.g., Jane Doe].
1.
2.
3.
4.
5.
6.
7.
8.
Please contact Kristi Olson by email kao2008@med.cornell.edu with any questions regarding Presenter
Information or Disclosure forms.
A laptop computer and an LCD projector will be available to presenters in each of the presentation rooms.