The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Required format:

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2024 SRF Abstract Registration

Thank you for your interest in presenting at the 2024 Student Research Forum. Please complete the form below. You must upload your abstract in the designated format. A template is provided for your convenience.

Information about the Forum, including a schedule of events, can be found on the SRF website.

If you need assistance or have questions, please contact the SRF team at srfabstracts@kumc.edu

First Name

* must provide value

Last Name

* must provide value

Email (Example: jdoe@kumc.edu)

* must provide value

Phone number

* must provide value

What degree are you pursuing?

* must provide value

PhD

MD/PhD

PharmD

DPT

DNP

AudD

OTD

MOT

BSN

Other

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MD's please specify your year.

* must provide value

Do you have an exam on April 2nd, April 3rd, or April 4th?

* must provide value

Yes

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What date and time is the exam?

* must provide value

Please specify what degree you are pursuing.

* must provide value

Primary Campus

NOTE: SRF is hosted on the Kansas City Campus!

* must provide value

Please specify other campus.

* must provide value

School

* must provide value

Please specify other school.

* must provide value

SOM Department

* must provide value

SHP Department

* must provide value

Other Department

* must provide value

Was this research conducted with another department or program other than the one you have listed here?

* must provide value

Yes

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Please indicate the research department or program.

* must provide value

Please specify other research department.

* must provide value

Please select the category that best describes the type of research you will be presenting.

Basic Science Research

Translational Research

Clinical Research

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If you would like to specify an affiliate campus or program, please enter it here.

Primary Mentor

Mentor First Name

* must provide value

Mentor Last Name

* must provide value

Mentor Credentials

* must provide value

Mentor Department

* must provide value

Other Mentor Department

* must provide value

Mentor Email (Example: jdoe@kumc.edu)

* must provide value

Please upload a professional photo.

Photo should be from your shoulders and up, should not include other people or animals, etc. The photo should be appropriate to show your employer.

* must provide value

Upload file

* must provide value

By checking this box, I affirm that: I have obtained my mentor's permission for this submission, my mentor and all co-authors have approved the abstract in the present form and that I will obtain approval of my mentor and all co-authors for the final presented version of the work.

What type of presentation?

More information about each presentation type is available on the SRF Student Registrations and Abstracts page
http://srf.kumc.edu/abstract-registration

* must provide value

3 Minute Thesis Information

3-Minute Thesis (3MT) preliminary round will take place on Wednesday, March 20th, 2024 from 9am to 11am. 3MT final round will take place on Thursday, April 4th, 2024, from 9:00 to 10:30 am. If you plan to participate, will you be available on these dates?

For more information on the 3-Minute Thesis competition please visit: 3MT at SRF

* must provide value

Yes

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You must be able to attend both the prelim and final rounds to participate in the 3MT competition.

After you complete this registration, you will be contacted via email with more information about 3MT rules and how to submit your slide.

3MT Title

* must provide value

Please list any accommodation requirements you need to aid in your 3MT presentation.

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Please list any additional comments or information that you believe the organizing committee needs to know for scheduling your 3MT presentation (e.g. online student, clinical rotation, class time).

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Oral/Poster Abstract Information

Abstract Due: 5:00pm Friday, February 23rd, 2024

Do you have a poster co-presenter?

* must provide value

Yes

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Co-presenters should complete the abstract submission form as well, there is a maximum of two presenters for each poster (e.g. presenter + co-presenter).

Co-presenter name:

* must provide value

Abstracts submissions must follow the designated format:
1. The submission must be a Word document, single spaced, using 12pt Arial font
2. The first line of the document should be the title, in BOLD
3. The second line of the document should be your name and department, in ITALICS as follows: Presenting Author: Jane Doe, Department of Biostatistics
4. The third line of the document should be your mentor's name, in ITALICS, as follows: Mentor: John Smith, PhD
5. The fourth line of the document should be your contributors, listed first name then last name, separated by commas, in ITALICS
6. The next section of the document is the body of the abstract and should be no more than 250 words- abstracts longer than 250 words will be truncated
7. After the body of the abstract, list any conflict of interest statements as necessary, in ITALICS
8. Lastly, acknowledge any grant support as necessary, in ITALICS
For an example please see the attached template.

Please title your abstract: LastName FirstInitial SRF Abstract. Example: ONeilP SRF Abstract

Attachment:SRF-RPF Abstract Template.docx

Upload the abstract in the format specified above

* must provide value

Upload file

Abstract Word Count

You must use the specified formatting and limit the word count of the abstract body to 250. Abstracts longer than 250 words may be rejected or truncated in event materials.

* must provide value

Abstract Title

* must provide value

Abstract Body

* must provide value

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Please enter the contributing authors (other than the presenter and mentor) for this submission. Enter one per line, first and last name. Do not provide their credentials.

* must provide value

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Are there special characters (e.g. Greek letters, accented letters) in the abstract body or title, or in the authors' names?

* must provide value

Yes

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Grant acknowledgement or conflict of interest statements (as needed).

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Please list any accommodation requirements you need to aid in your oral/ poster presentation.

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Please list any additional comments or information that you believe the organizing committee needs to know for scheduling your presentation (e.g. online student, clinical rotation, class time). Please list any scheduling conflicts with date and times for Tuesday, April 2nd (9:00am to 4:00pm) and Wednesday, April 3rd (9:00 am to 4:00pm), 2024.

(e.g. clinical rotation Wednesday April 3rd 10 am-2 pm)

* must provide value

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Please indicate whether you would like to recieve a paper copy of the SRF booklet

* must provide value

Yes

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.