Form 1 NCORP Annual Meeting Registration

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

NCORP Annual Meeting Registration

2020 NCORP Virtual Annual Meeting Registration (NCI)

OMB: 0925-0740

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Shape1

OMB No.: 0925-0740

Expiration Date: 7/31/2022


Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0740). Do not return the completed form to this address.

Registration









Please complete this form to register for the 2020 NCORP Virtual Annual Meeting. An asterisk (*) indicates required information.


Meeting Information

The meeting will run from approximately 12 p.m. to 6:00 p.m. ET on August 31st and 2:00 p.m. to 5:00 p.m. ET on October 6th.

We encourage those wishing to participate to register by Friday, August 21, 2020; although meeting registration will remain open through October 1, 2020. There is no fee to attend the 2020 Virtual NCORP Annual meeting. The meeting will be held via WebEx. Registrants will receive the meeting login information prior to the meeting.

There is no limit to the number of representatives from an NCORP to attend. Each NCORP Program (i.e., Community Site, Minority/Underserved Community Site, and Research Base) is encouraged to register all representatives that will attend virtually including PIs, Administrators, Site Investigators, CCDR Leads, and other Operations/Clinical/Research Managers and Staff.



* First Name

Shape2 First Name is required.

* Last Name

Shape3 Last Name is required.

* Degree

Shape4 Degree is required.

TIP: Hold the CTRL/Command key while clicking to select more than one degree

* NCORP Program

Shape5 NCORP Program is required.


If Other, explain

Shape6 Explanation of program is required.

* NCORP Role

Shape7 NCORP Role is required.


If Other, explain

Shape8 Explanation of role is required.

* Affiliate/Sub-affiliate

Shape9 Institution/Component is required.

* Email

Shape10 Email is required. Email format is not correct, please ensure your entry is accurate.



2020 Virtual NCORP Annual Meeting Participation


*Please select the meeting date(s) that you plan to attend. You can locate the agendas for each day on the meeting webpage.

Shape11 Monday, August 31, 2020 | 12:00 p.m. - 6:00 p.m.

Shape12 Tuesday, October 6, 2020 | 2:00 p.m. – 5:00 p.m.




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDenise Hoffman
File Modified0000-00-00
File Created2022-02-01

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