Scholarship Application

ABSTRACT SUBMISSION FORM

PRINTABLE PDF FORM | SUBMISSION GUIDELINES | SAMPLE INTERVENTION-BASED ABSTRACT | SAMPLE RESEARCH-BASED ABSTRACT

This form is required for submitting abstracts for consideration as either oral (concurrent session) or poster presentations.

The Abstract Submission Form must be received by November 5, 2003.  Notification of acceptance or rejection of submitted abstracts will be made by December 1, 2003

If your abstract is not accepted for presentation, will you still be registering for the conference?
  YES NO

CONTACT INFORMATION
Salutation (Mr./Ms./Dr./etc.):
First Name:
Middle Name or Initial:
Last Name:
Position/Occupation:
Organization:  (if applicable)
Preferred Address:
City:
State: (if USA)
Postal Code: -
Province/Island:
Country:
Daytime Telephone
(Please use dashes between numbers: e.g., 301-986-4870):
Extension:
Fax
(Please use dashes between numbers: e.g., 301-986-4870):
E-mail Address:
PRESENTATION INFORMATION
Title of Abstract/Presentation:
(500
maximum characters)
Additional Authors:
(Provide full name and degree, if applicable)

Submitted for Consideration for: Oral (concurrent session) presentation

If selected for an oral presentation, please indicate the language in which you would present:

 

 

Spanish

French

Dutch

English

Poster presentation
(Presentations not accepted for oral presentation will not be considered for poster presentation unless this box is also checked.)
Type of Research: Biomedical Science

Behavioral Science

Other: 

Conference Track and Abstract Categories for Presentation:
(must be designated for consideration for oral presentation)
Track Descriptions
Track A -- Prevention and Behavioral Change:
Track B -- Treatment, Care, and Support:
Track C -- Mother-to-Child Transmission:
Track D -- Critical Issues in Drug resistance and Vaccine Research
Track E -- Stigma and Discrimination: 
Track F -- Vulnerable Populations and HIV/AIDS: 
Track G -- Critical Issues Affecting the Caribbean Region: 
BODY OF ABSTRACT
SAMPLE INTERVENTION-BASED ABSTRACT | SAMPLE RESEARCH-BASED ABSTRACT

I. Background/Introduction (1000 maximum characters)

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II. Method/Experience (1000 maximum characters)

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III. Results/Best Practices (1000 maximum characters)

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IV.  Conclusions/Recommendations:  (1000 maximum characters)

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I certify that this abstract is the original work of the author whose "electronic" signature appears below and is not covered by international or any nation’s copyright protection. I give permission for this abstract to be published in any printed, online, or electronic materials produced in association with A Multicultural Caribbean United Against HIV/AIDS.

I accept all conditions for abstract submission and presentations as stipulated in the Abstract Submission Guidelines.  

Presenting author's "electronic" signature: 
 

You may contact us at info@caribbean-march-2004.org for more information.