Call for Posters!
2024 KYACHW Conference Call for Posters
We appreciate your interest in submitting a poster for the 9th annual KYACHW Conference. Please complete the application below. Applications will be accepted until June 30th, 2024 with notification of acceptance no later than July 31st, 2024. You may complete a poster with a team or individually. Please, only one submission per person. All poster subjects must be Community Health Worker-related. KYACHW will provide additional poster specifications after selection. All poster authors will be entered to win a prize in an exclusive raffle. We know how creative everyone is and are excited to see your submission.
Contact Person
*
First Name
Last Name
Organization
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
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-
Area Code
Phone Number
Primary Author
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Add co-author(s)?
*
Please Select
Yes
No
Co-Author 1
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Co-Author 2 (if applicable)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Co-Author 3 (if applicable)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Co-Author 4 (if applicable)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Poster Information
Poster Title
Brief Description (50-75 words to be used for Poster Prospectus)
0/75
SMARTIE Learning Objectives (3-5 measurable objectives)
Poster Abstract (500 words or less)
0/500
Submit
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