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- Le Réseau PHQ du NMIN (NHN)
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À Propos
Les Équipes
Recherche
Formation
- Le Réseau PHQ du NMIN (NHN)
- NMIN-Mitacs : Stages et bourses
Resources
English
Search for...

Registration: NMIN 2020 Trainee Symposium

Please complete the following form to register for NMIN’s 2020 Trainee Symposium.

You will be prompted to complete additional fields based on your replies to the field(s) presently visible.

Are you involved in an NMIN-sponsored project? *

Yes
No

Role/Position in NMIN project *

Trainee/HQP
Research staff
Other

Please specify your role/position *

PI of the NMIN project with which you are affiliated *

Please provide the full name of the Principle Investigator on the NMIN project with which you are affiliated

Are you a member of the NMIN HQP Network (NHN)? *

Yes
No

Enter "yes" if you have formally applied to and been accepted in the NHN.

Are you a trainee member of the PRiME Network?

Yes
No

INELIGIBLE: Sorry, you are not eligible to register for the NMIN Trainee Symposium

If you are not working on an NMIN-sponsored project, nor have you applied to and been accepted as a member of the NMIN HQP Network (NHN), nor are you a trainee within the PRiME Network, then you are not eligible to participate in this event. If you have questions about your eligibility, please contact leahgraystone@nanomedicines.ca or enter your comment in the field above.

Prefix

Ms.
Mrs.
Mr.
Dr.

Name *

First

Last

Email *

Cell *

Gender *

Female
Male
Other

Affiliation (Institution/Company) *

Discipline/Faculty/Department

Supervisor

City and province of residence

If you are coming from outside Canada, please also indicate your country of residence.

Do you have a food allergy? *

Yes
No

Food allergy details

Please list the food(s) to which you are allergic

Dietary needs

Vegetarian
Vegan
Other
I'll eat anything

If you have other dietary needs, please describe them

If you have other special needs or accessiblity issues, please describe them

Are you willing to share your hotel room (double-occupancy) with another trainee? *

Yes
No

NOTE: NMIN will cover the cost of your accommodation for this event if you share a double-occupancy room with another trainee.

Do you know someone attending the event that you would prefer to share your hotel room with?

Yes
No

Answer "yes" if you have agreed with someone already to share a room. If you answer "no" NMIN will match you with another trainee to share your room.

Please enter the name of your preferred roommate

Please only name a preferred roommate if you have already come to an agreement with this person about sharing a room

Are you willing to pay 50% of your accommocation cost in order to have a private room?

Yes
No

If you reply "no," NMIN will be unable to obtain a room for you at the hotel. You must either be willing to share a room, or to pay 50% of the cost, to be sponsored for a room by NMIN. Contact leahgraystone@nanomedicines.ca with questions or concerns.

Email Newsletter

I would like to receive email updates from NMIN

Comments or Questions

Comment

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