Urology Care Foundation The Official Foundation of the American Urological Association

Urology Care Foundation The Official Foundation of the American Urological Association

http://www.urologyhealth.org/

2012 Urology Care Foundation Basic Science Symposium RSVP

* Required Information

AUA ID: 
First Name:  *
Middle Name: 
Last Name:  *
Name Suffix (Jr., III, etc.): 
Credentials (MD, PhD, etc.): 
Institution Name:  *
Email Address:  *
Please select: 

 Yes, I will be attending the Basic Science Symposium on May 18, 2012

The AUA is also pleased to offer up to $1,000 in travel award funds to assist young investigators and trainees in attending the symposium. Young investigators are defined as an M.D. or Ph.D., or having an equivalent doctoral-level degree, who are actively engaged in research and within 10 years of completion of a residency or fellowship, or from completing requirements for a Ph.D. at the date of application.

 Yes, I am qualified and interesting in applying for travel support

 No thanks

 No, I will not be attending the Basic Science Symposium on May 18, 2012

* RSVP is mandatory in order to qualify for the travel award funds

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© 2014 Urology Care Foundation, Inc. All Rights Reserved.