MSRD 2023 Interest Form

Office of Student Research655 West Baltimore StreetBressler Research Building, Suite M-019Baltimore, MD 21201410 706 3026 StudentResearch@som.umaryland.edu http://medschool.umaryland.edu/osr

46th Annual Medical Student Research Day Monday, Tuesday, November 28 and Wednesday, November 29, 2023 afternoons
Interest Form
Preferred Response by Date extended: November 17, 2023
After you submit your entry, you will receive a confirmation email that includes the content of your entry and the Edit link. You can use the Edit link to later modify your entry if need.
General Event Interest*

I plan to attend this event on 11/28 and/or 11/29.I am interested in attending this event on 11/28 and/or 11/29.I will not be able to attend this event but would like to receive important announcements such as the schedule and event program/abstract booklet.
First Name*
Last Name*
Email*
Group*

Medical StudentFacultyStaffResidentResearch Fellow/Postdoctoral FellowResearch AssociateGraduate StudentOther StudentOther
Institution or Entity*

UMBOther
School (select all that apply)

School of MedicineOther
Year

MS1MS2MS3MS4Other
Participating as a Presenter: Presentation sessions take place during ~1 hour block times between ~1:30 p.m. - 5:00 p.m. on 11/28 and ~2:20-4:30 p.m. on 11/29. Oral presentations are 10 minutes (must be present for full session). Poster presentations are 1 hour (duration of the session).

I am interested in presenting at MSRD.
Participating as a Judge: Presentation sessions take place during ~1 hour block times between ~1:30 p.m. - 5:00 p.m. on 11/28 and ~2:20-4:30 p.m. on 11/29.

I am interested in being a judge for MSRD.
Participating as a Volunteer Event Staff: Event Staff roles are available throughout the 2 days (~11:30am-5:30pm on 11/28 and ~2-6:20pm on 11/29) in ~1 hour blocks.

I am interested in being a volunteer event staff for MSRD.
Presenter's Mentor or Research Team

Presenter's Mentor or Research Team
Day 1 Lunch, Opening Remarks, and Keynote Address (SMC Campus Center, Elm A Room 208, Tuesday, 11/28, 12:10 - 1:20 p.m.)*

I plan to attend lunch and keynote address.I do not plan to attend lunch and keynote address.
Day 2 Awards Banquet (SMC Campus Center, Elm A Room 208, Wednesday, 11/29, 4:40 - 6:00 p.m.)*

I plan to attend the awards banquet.I do not plan to attend the awards banquet.
Dietary Restrictions, if any

VegetarianGluten-freePescatarianKosherNo shellfishNo dairyNo pork or pork productsFood allergies (elaborate under "Dietary Restrictions additional comments")Other
Dietary Restrictions additional comments
Mentoring in OSR-related courses (FRCT course) or programs (PRISM, UM Scholars).

I am currently a mentor for OSR-related courses or programs.I am not a mentor for OSR-related courses or programs and would like to find out more.I am interested in participating in OSR activities and programs in additional ways and would like to follow up.
Interest in additional OSR Events

I am interested in learning more about additional OSR events and activities.
Additional Comments
Thank you for your interest in Medical Student Research Day.
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