MSRD 2019 Judges Availability 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

Medical Student Research Day Tuesday, November 19, 2019Noon – 6:45 pmHealth Sciences and Research Facility III (HSRF III) and Medical School Teaching Facility (MSTF)

Judges Availability Form

Extended Deadline: November 15, 2019

MSRD Judge

First Name:

Last Name:

Email:

Department of (Primary Appointment):

Specify Other Department:

Division of (if applicable):

Group

Degree(s)

Number of years as a fellow, resident, or research associate

Primary Research Type (select all that apply)

I would prefer to judge:

Available to judge more than one presentation session

Availability on MSRD for Oral Presentation Sessions

Rows	Available	Not Available
1:30 - 2:45 pm

Availability on MSRD for Poster Presentation Sessions

Rows	Available	Not Available
2:55 - 3:55 pm
4:25 - 5:25 pm

Past Medical Student Research Day (check all that apply)

Comments:

Thank you for volunteering to be a judge for MSRD!