8th Annual Research Competition Prospective Judges Interest Form
Please complete this form to indicate your interest and availability to serve as a judge for the 8th Annual Research Competition.
Full Name
*
First Name
Last Name
Designation
*
MD
DO
Organization
*
Specialty
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you available to review 10–15 abstracts over a 3-week period?
*
Yes
No
Are you available for in-person judging on March 6, 2027? (Not required for participation in abstract judging)
*
Yes
No
Do you anticipate having to make financial disclosures
*
Yes
No
Submit Interest
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