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Nursing Publications Submittal Form

 

 

Posters, Speeches, etc. Items

 
Submittal Guidelines

 

Check one:  

       

Sender's Name:*

 

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Phone:*

 

Title of Work
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):

 

Date of Presentation (Year):

 

Length of Award (Start Year):

 

Length of Award (End Year):

 

Program (if Thesis):

 

Author (if Thesis):

 

Presentors/Advisors (if Thesis)  [list up to 10 but include all WFBH authors]:

   

*required fields

 

 

 If you have any questions, please contact Bev Booe at 336-716-4313.

 

  

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