SATURDAY, APRIL 18, 2015 • 10:00 a.m.-4:00 p.m. PENNSYLVANIA CONVENTION CENTER PHILADELPHIA, PA TENTH ANNUAL UNDERGRADUATE STUDENT CAUCUS AND POSTER COMPETITION The Tenth Annual Undergraduate Student Caucus and Poster Competition (USCPC) brings together undergraduate and post baccalaureate students to address educational pathways, explore career options in the cancer field, and compete for prizes while presenting their research. The program is FREE, and lunch is provided. In addition, complimentary registration for the entire AACR Annual Meeting 2015 (April 18-22) will be extended to all student participants. Poster presenters must also submit their abstract at http://myAACR.aacr.org. If you do not have a myAACR account, you will need to create an account. Deadlines Abstract Deadline: Registration Deadline: Friday, March 6 Friday, March 20 Eligibility Questions? Full-time undergraduate and post baccalaureate students are invited to participate and/or to submit an abstract for poster presentation during this special session. Web: www.aacr.org/uscpc15 Email: [email protected] Phone: 215-440-9300 Toll-free: 866-423-3965 Prizes for Poster Competition Attendees at this session may also choose to enter the poster competition. Poster competition winners will be awarded the AACR-Gary J. Miller Prizes for Cancer and Cancer-Related Biomedical Research. First prize consists of $1,500 for participation in the AACR Annual Meeting 2016 in New Orleans, La. Second ($300) and third place ($200) prizes will also be awarded, as well as Meritorious Honors for the top ten posters, and a People’s Choice Award. Prizes are judged by AACR member scientists. This is a special poster session for students, and there is a separate abstract submission process (abstracts submitted to the general AACR Annual Meeting 2015 poster sessions were due December 3, 2014). Students are welcome to present abstracts that will also be presented elsewhere at the meeting. Registration All eligible students wishing to attend the session and/or compete in this poster competition must complete and submit an Advance Registration Form. See reverse side for advance registration form. Mentoring Opportunities Are you an AACR Member interested in serving as an abstract reviewer and judge for the USCPC? Email us at [email protected] to volunteer. AACR This program takes place at the American Association for Cancer Research’s Annual Meeting 2015, April 18-22, 2015 in Philadelphia, Pennsylvania. Founded in 1907, AACR is the world’s oldest and largest professional organization dedicated to advancing cancer research and its mission to prevent and cure cancer. AACR membership includes more than 35,000 laboratory, translational, and clinical researchers; population scientists; other health care professionals; cancer advocates; and students residing in 97 countries. Thank you for your support of the AACR and its activities. We look forward to seeing you in Philadelphia! TENTH ANNUAL UNDERGRADUATE STUDENT caucus and poster competition REGISTRATION FORM Abstract Submission Deadline March 6, 2015 Advance Registration Deadline March 20, 2015 SATURDAY, APRIL 18, 2015 • 10:00 a.m.-4:00 p.m. PENNSYLVANIA CONVENTION CENTER • PHILADELPHIA, PA Section 1. Student Information Section 3. Demographic Information (optional) Are you an AACR Member? q Yes q No Membership #: _____________ Information concerning gender and ethnic background is requested only to enable the AACR to ensure that its programs are serving all members of its diverse cancer research community. q Mr. q Ms. Last/Family Name, First Name, Middle Initial Race or Ethnic Background: (check only one) q Caucasian q Native American q African American or Black q Alaskan Native q Hispanic or Latino q Native Hawaiian/Pacific Islander q Asian q Other Institution Name of Institution Gender: (check only one) q Male q Female Mailing Address Section 4. Poster Competition City, State, or Province Zip/Postal Code Country (if not U.S.) Contact Information Students who wish to present a poster must submit their abstract online at http://myAACR.aacr.org before March 6, 2015. (Log on to myAACR. If you do not have a myAACR account, you will need to create an account. Once logged on, navigate to the Abstract tab to begin an online abstract submission for the Tenth Annual Undergraduate Student Caucus and Poster Competition). Do you intend to present a poster at the Tenth Annual Undergraduate Student Caucus and Poster Competition? q Yes q No Mailing Address City, State, or Province Zip/Postal Code Section 5. Institutional Certification This section must be completed by a mentor, advisor, professor, or departmental chair from the institution at which the registering student is matriculated. Country (if not U.S.) Phone Number Last/Family Name, First Name, Middle Initial Email Address Section 2. Education Institution Year of Study: q Freshman q Sophomore q Post-Baccalaureate Department q Junior q Senior q Other: ___________________________ Primary Field of Research (please check only one): q Behavioral Science q Immunology q Biochemistry and Biophysics q Molecular Biology q Biostatistics/Bioinformatics q Preclinical Pharmacology q Carcinogenesis and Experimental/ q Cellular Biology Molecular Therapeutics q Chemistry q Prevention Research qC linical Research/ q Radiation Oncology/ Clinical Trials Radiation Biology q Computational Biology q Research Administration/ q Endocrinology Business Development q Epidemiology q Tumor Biology q Genetics and Genomics q Virology q Other (please specify): _______________________________________ Fax: (215) 440-9412 Email: [email protected] Abstract submission: http://myAACR.aacr.org Phone Number Email Address I hereby certify that this registrant is a full-time student at the institution listed above. Mentor/Advisor Signature Date Student Signature Date FOR AACR USE ONLY REG. CODE: USCPC MEMBER COMPLIMENTARY
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