Undergraduate Student Research Competition 2018

Contact Information

Undergraduate Student Research 
Competition Submission


Please submit your application by March 30, 2018.


Program Details:
Takes place during ADHA's 2018 95th Annual Conference in Columbus, OH.

Wednesday, June 20 -  3:00 p.m. - 4:00 p.m.: Undergraduate Student Research Setup 
Wednesday, June 20  - 4:00 p.m. - 6:00 p.m.: Judging 

Thursday, June 21 - 9:30 a.m. - 10:30 a.m.: Awards Breakfast
Thursday, June 21 - 11:00 a.m. - 1:30 p.m.: Open viewing attended by presenters
Thursday, June 21 - 1:30 p.m. - 4:30 p.m.: Open viewing not attended by presenters
Thursday, June 21 - 4:30 p.m.: Pick up presentations

How did you hear about the Undergraduate Student Research Competition?  *
Will you be presenting a RESEARCH POSTER or an INFORMATIVE POSTER PRESENTATION? *

School Name: *
Presenter #1 First Name: *
Presenter #1 Last Name: *
Presenter #1 ADHA Member Number: *
Address (Line 1): *
Address (Line 2):
City: *

State: *
Zip: *
Cell Phone: *
Email Address: *

Are there additional presenters? *
Additional Presenters: List the names of the additional presenters below:
Additional Presenter #2: First Name
Additional Presenter #2: Last Name
Additional Presenter #2: ADHA Member Number
Additional Presenter #2: Email Address

Additional Presenter #3: First Name
Additional Presenter #3: Last Name
Additional Presenter #3: ADHA Member Number
Additional Presenter #3: Email Address

Additional Presenter #4: First Name
Additional Presenter #4: Last Name
Additional Presenter #4: ADHA Member Number
Additional Presenter #4: Email Address

Please indicate one presenter as the main contact who will receive correspondence from ADHA regarding payment and registration. The main contact can be any of the presenters listed. 
Main Contact: First Name
Main Contact: Last Name
Main Contact: Email Address
Main Contact: Phone Number