JBI/JBIC Symposium Registration Form

JBI/JBIC Symposium Registration Form
To be eligible to receive points for a JBI/JBIC Symposium under the JBIC Activity Matrix, it must be registered with the Global Engagement Office before the event occurs. Please complete the registration form below.

Refer to the JBIC Handbook for further information on eligibility. Please contact the Global Engagement Office if you require any assistance jbic@adelaide.edu.au
JBIC Entity Name*
Country*
Name (Best Contact)*

First NameLast Name
Email*
example@example.com
Title of Symposium*
Please ensure that the title includes 'a JBIC Symposium' as either a sub-heading or an addendum to the title of the event, for example: Knowledge translation in rural PC China: A JBIC Symposium
Provide a short description of the symposium*
Please provide a registration link or best contact email*
Please provide any social media handles related to the symposium
Is your symposium a minimum half-day event? (It must be at least a half-day event to be eligible to receive points)*

YesNo (you are not eligible to receive points via the JBI Activity Matrix, please refer to the JBIC Handbook)
Date of Symposium *

MonthDayYear
Date
Is your JBIC Symposium open to registration by participants outside of your organisation, and (where applicable) your clinical partner?*

YesNo (you are not eligible to receive points via the JBIC Activity Matrix, please refer to the JBIC Handbook)
Please provide the registration link to your symposium below (if you do not have an online registration link add the email of the contact person liaising with registrants):*
Would you like us to advertise your JBIC Symposium on the event page of the JBI website?*

YesNo
BRANDING - To be eligibe to receive points for your symposium you must comply with the naming and branding guidelines in the JBIC Handbook. Does your symposium have 'a JBIC Symposium' as either a sub-heading or an addendum to the title of the event? For example: Knowledge translation in rural PR China: a JBIC Symposium*

YesNo (you are not eligible to receive points via the JBIC Activity Matrix, please refer to the JBIC Handbook)
BRANDING - Have you included the JBIC logo on your website/marketing and any other symposium materials (e.g agenda)? If you require the JBI Logo, or your personalised JBIC Entity logo please contact the Global Engagement Office - jbic@adelaide.edu.au*

YesNo, but I have contacted the Global Engagement Office and made a request for the logosNo (you are not eligible to receive points via the JBIC Activity Matrix please refer to the JBIC Handbook)
Please ensure that you contact the Global Engagement Office after your event to provide final number of participants, as well as the event program. If you have any questions contact the Global Engagement Office jbic@adelaide.edu.au
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JBI/JBIC Symposium Registration Form

To be eligible to receive points for a JBI/JBIC Symposium under the JBIC Activity Matrix, it must be registered with the Global Engagement Office before the event occurs. Please complete the registration form below.