NJ-ELNEC Conference Abstract Submittal
NJ-ELNEC Conference
Title:
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Purpose:
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Objectives:
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Limit to one or two
Overview of Presentation:
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Equipment needed:
LCD Projector
Computer
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Submitted for:
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Presentation
Poster
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Acknowledge potential conflict of interest:
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Type of Audience Intended:
Academic Administrators
Advanced Practice Nurses
Allied Health Care Provider
Clergy/Chaplains
Counselors
Educators
Funeral Directors
Hospital Administrators
Informatics
Physician Assistants
Physicians
Social Workers
Staff development
Staff Nurses
Other
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Principal Presenter's Name and Credentials:
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Email:
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Employer:
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Home Address:
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Employer Address:
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Position/Title:
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Phone - Work:
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Phone - Home:
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Phone - Cell:
Daytime Phone:
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Work
Home
Cell
Professional Experience:
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Education:
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Include: Institution(s), Degree(s), and Date of Degree(s)
Co-presenters:
Pleast provide names(s), credentials, address(s), work and home phone, email and affiliations for all co-presenters
Abstract:
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You can copy and paste your abstract here.
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