SGSU 70th Kimbrough Seminar
Abstract Submission Form - Norfolk 2024

Please note: If you need to make changes after submitting your abstract, do not submit another form. Email the changes to abstracts@sgsu.org with the paper title in the subject line.

Click here for abstract preparation instructions

Paper Title: *

Select Topic of Choice: *

Select Presentation Option: *

Resident Abstract Competition

Podium or Poster

Poster only

Video

Video length in minutes: *

Upload Abstract * 🛈

Are you the participant in an on-going research project? *

Yes

No

Is this an original work of yours with advisor(s)? *

Yes

No

Will you be the first author on the manuscript when it is submitted for publication? *

Yes

No

Please check one if applicable:

Young urologist (within 5 yrs post training)

Resident

Graduation Year

Has this Paper Been:

Presented at any meeting? *

Yes

No

Previously published? *

Yes

No

Submitted for publication? *

Yes

No

Scheduled for presentation prior to this meeting? *

Yes

No

Provided with funding? *

Yes

No

Please type in company / entity name(s) that provided funding: * 🛈

Contact Information (for presenting author):

First Name *

Middle

Last Name *

Military Rank

Corps

Service *

Organization or Medical Facility

Street Address *

Address Line 2

City *

State or Province *

Country *

Zip Code *

Phone Number *

Email Address (for confirmation) *

Please list all accompanying authors & degrees (including yourself)
DO NOT USE RETURN KEY
For example: LCDR Sean P. Stroup, MC, USN; LTC Timothy Brand MC, USA; CDR Jamey Sarvis, MC, USN; Naval Medical Center San Diego, San Diego, CA and Madigan Army Medical Center, Tacoma, WA. (Presentation to be made by Dr. Stroup). *

FOR NON-MEMBERS, Indicate Sponsor Name:

All information contained in this submission is true to the best of your knowledge? *

Yes

No

Comments:

Abstract Submission - click button below

By submitting this form, you confirm that the information you have provided is complete and accurate.

Note: Authors who submit abstracts are not automatically registered for the meeting. In order to participate in the meeting and make your presentation, authors must register for the meeting.

Note: Please be sure to complete the Disclosure Form by clicking the link on the confirmation page that follows. Your submission cannot be considered until we have your disclosure.

SGSU 70th Kimbrough Seminar Abstract Submission Form - Norfolk 2024

SGSU 70th Kimbrough Seminar
Abstract Submission Form - Norfolk 2024