Abstract Submission Form | Pitt Public Health

First Name:

Last Name:

Are you a currently matriculated Pitt Public Health student?:

Yes
No

E-mail:

Phone:

Preferred method of contact:

Indicate your preferred method of contact on the afternoon/evening of April 10 or April 11 so that we may contact students that the Dean invites to present on April 16.

Abstract Title:

If your poster title is not the same as your abstract title, contact Summer Haston by March 8.

Abstract:

Please describe your contribution to this work:

Is this work a group project?:

Yes
No

Please enter the first and last names of students who are part of this group project.:

Was the project conducted in collaboration with a community-based organization or program having an established or defined relationship to the underserved population or community? :

Yes
No

Does the project provide insights for policy making and/or applications for improving practice? :

Yes
No

Was the work completed part of a practicum or internship?:

Yes
No

Advisor's Name:

Research advisor or academic advisor. Whomever is the most familiar with your work.

Advisor's E-mail:

First Choice: