Nursing Publications Submittal Form for Posters Speeches Etc Items

	Nursing Publications Submittal Form Posters, Speeches, etc. Items	Submittal Guidelines
	check one: POSTER SPEECH COURSE AWARD THESIS GRANT

Sender's name phone

Title of poster/speech/course/award/thesis/grant

Name of Organization

Location of Meeting/Course

Awarding Agency (if Grant)

Amount of Award (Grant)

Date of Presentation:
month

year

Length of Award:
year

year

Program (if Thesis)

Author (if Thesis)

Presenters/Advisors (if Thesis) (list up to 10 but include all WFUBMC employees)

If you have any questions, please contact Beverly Booe at (336) 716-4313.

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Name of Organization
Location of Meeting/Course
Awarding Agency (if Grant)
Amount of Award (Grant)
Date of Presentation:	month	year
Length of Award:	year	year
Program (if Thesis) Author (if Thesis) Presenters/Advisors (if Thesis) (list up to 10 but include all WFUBMC employees)