MSRD 2021 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

44th Annual Medical Student Research Day Monday, November 15 and Tuesday, November 16, 2021, ~1-5:30pm Zoom
Interest Form
Preferred Response by Date: extended to November 11, 2021
RSVP*

I plan to attend this event.I am interested in attending this event.I will not be able to attend this event but would like to receive important announcements such as the schedule, abstract booklet, and event program.
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 MedicineSchool of PharmacySchool of NursingSchool of DentistryGraduate SchoolSchool of Social WorkCarey School of LawOther
Anticipated/Interested Role (select all that apply)

JudgePresenter's Mentor or Research TeamGeneral AttendeeOther
Participating as a Judge (presentation sessions take place during 1-1.5 hour block times between 1 p.m. - 5:30 p.m.).

I am interested in becoming a judge for MSRD.
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.
Year

MS1MS2MS3MS4Other
Additional Comments
Thank you for your interest in Medical Student Research Day.
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