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ABSTRACT SUBMISSION

Abstract Submission Guidelines

The abstract submission deadline is January 9, 2014.

All abstracts will be reviewed and applicants notified of their acceptance on February 17, 2014.

If you are going to submit an abstract, you do not need to submit a separate registration form.

Eligibility

Abstracts should be submitted online by postdoctoral fellows; medical, dental and graduate students; post-baccalaureates; college and community college students (particularly African-American, Hispanic/Latino and American Indian/Alaska Native individuals) involved in biomedical or health-related scientific research.

The abstract must include:

  1. Name of author(s)
  2. Suffixes (degree obtained): BS, MS, MD, PhD, MD/PhD, or other
  3. Contact information: mailing and e-mail addresses, phone numbers
  4. Institution, academic level and expected year of graduation/program completion
  5. Funding source(s)/research sponsor(s)
  6. Research title
  7. The abstract (not to exceed 400 words) must demonstrate the scientific problem and must contain:
  • Statement of the Problem/Background
  • Research Question/Hypothesis
  • Research Design/Methods Used in the Investigation
  • Results/Summary of the Investigation
  • Interpretation/Conclusion of the Investigation

 



1. CONTACT INFORMATION
Name  
First
Last

Suffixes
(degree(s) obtained)

BS MS
MD PhD MD/PhD DMD/DDS
Other (specify)

Mailing Address (Preferred address to receive postal mail)
Institution (if applicable)
Street
Apartment/Suite
City
State Zip code
Phone Cell Phone

E-Mail

Must be valid - You will receive a confirmation e-mail at this address.
2. PERSONAL INFORMATION

Date of Birth

Last Four Digits of Social Security Number
 

1. Do you consider yourself to be Hispanic/Latino?

 

1.a. If yes, please check all that apply.
Cuban
Dominican
Mexican, Mexican American, Chicano
Puerto Rican
South or Central American
Other

  2. How do you identify your race? Please check all that apply.
American Indian or Alaska Native
  2.a. If yes, please specify name of enrolled or principal tribe:
  Asian
  2.b. If yes, please check all that apply.
Asian Indian
Cambodian
Chinese
Filipino
Japanese
Korean
Pakistani
Vietnamese
Other (specify):
  Black or African American
  2.c. If yes, please check all that apply.
African American
Caribbean or West Indian
African (specify country):
Other (specify):
  Native Hawaiian or other Pacific Islander
  2.d. If yes, please check all that apply.
Guamanian or Chamorro
Native Hawaiian
Samoan
Other Pacific Islander (specify):
  White
  Other
  3. Gender
Male
Other (specify):

3. CURRENT INSTITUTION AND ACADEMIC LEVEL

Current School/Institution

City
State
Student/Fellow/Resident Attendees
Major/Field of Study
Degree(s) Expected
Expected Year of Graduation/Program Completion

Academic Level
(check only one)
Postdoctoral/Research Fellow (please specify)
 

MD




(specify)

MD/PhD Candidate
PhD Candidate
MD Candidate
Master's Candidate
Post-baccalaureate
  The Name of theSchool where College Degree was Obtained:
  College Graduation Year:
PharmD Student
College Student
Community College Student
Other (specify)
 


Have you ever participated in the New England Science Symposium?

Yes No I don't remember

If yes, please check all that apply:

  Presenter: Attendee:
2002
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013

 

4. CO-AUTHORS AND AFFILIATIONS

There are no co-authors for this research.

Please list all co-authors below (for example, John Smith, PhD, Harvard University) and please make sure the co-authors are notified that their names are being submitted.

  Name: Degree: Institution:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.


5. RESEARCH

Institution where the research was conducted

Name of the lead author and his/her institution if different from submitting author
 

 

Title: (for example, "The Effect of Hospital Type on Lymphoma Outcomes in Boston")

 

Category: Please select which category best describes the research. If none of the categories below are appropriate, please check "Other" and type a new category in the space provided.
Public Health, Epidemiology or Biostatistics
Microbiology, Immunology, Genetics or Molecular Biology
Cellular Biology, Neuroscience, Biochemistry or Physiology
Bioinformatics, Physics, Chemistry or Engineering
Clinical or Social Science
Other (specify)

 

Funding Source(s) and/or Research Sponsor(s)

 

6. ABSTRACT

(Not to exceed a total of 400 words) must demonstrate the scientific problem and must clearly contain:

  • Statement of the Problem/Background
  • Research Question/Hypothesis
  • Research Design/Methods Used in the Investigation
  • Results/Summary of the Investigation
  • Interpretation/Conclusion of the Investigation

Abstracts will be rejected if:

  • no data available
  • inadequate description of methodology
  • no results available at time of submission

Please click here for abstract tips and samples.

Abstract must be typed into the following five separate sections. The abstract cannot exceed a total 400 words.

 

Statement of the Problem/Background

 

Research Question/Hypothesis

 

Research Design/Methods Used in the Investigation

 

Results/Summary of the Investigation

 

Interpretation/Conclusion of the Investigation

 

This Abstract Submission is approved by my PI.

Name of PI:       
Date:

 

 

Please read and sign below

By signing this application, I (or my parent or guardian on my behalf) hereby:

(A) acknowledge(s) and understand(s) that Harvard Medical School (HMS) Office for Diversity Inclusion and Community Partnership, and the Biomedical Science Careers Program, Inc. (BSCP) will retain the information in this application for their records , and that this information about the applicant, including identifying information, will be used to match students with advisors, track students through their academic and professional careers, and for future promotional and other communications, such as newsletters;

(B) consent(s) to photographic, audio, video, or electronic images of the applicant to be used by HMS and BSCP for exhibition, public display, publication, news media story, video, audio, or other electronic media, such as the Internet, television, CD-ROM or DVD ;

(C) release(s) HMS and BSCP, including each of their directors, officers, employees and agents, waive(s) all known and unknown claims against any of them, and agree(s) not to sue any of them on account of or in conjunction with any claims, causes of action, injuries, damage, cost of expenses arising out of the applicant's participation in the Symposium, whether or not caused by the acts, omissions or other fault of the parties being released; and

(D) acknowledge(s) and represent(s) that he or she has carefully reviewed this application, including the foregoing acknowledgement, consent, release, waiver and agreement not to sue and understand(s) what each of them mean, and that my/their signature below indicates that delivery of this application to HMS/BSCP is my/their free act and deed.

Name

Signature (your initials)

Today's Date MM/DD/YYYY

 

Please complete below if applicant is less than 18 years of age

Parent/Caregiver's Name

Parent/Caregiver's Signature (initials)

Today's Date MM/DD/YYYY

 

Sponsors: Harvard Medical School Minority Faculty Development Program (MFDP), Biomedical Science Careers Program (BSCP), Harvard Catalyst | The Harvard Clinical and Translational Science Center

 

Contact
For more information please contact:

Harvard Medical School
Pinar Kilicci-Kret
Phone: 617-432-5580

pinar_kilicci-kret@hms.harvard.edu

Biomedical Science Careers Program
Lise D. Kaye
Phone: 617-432-0552
lise_kaye@hms.harvard.edu

 

 

 

If you have problems submitting the form, please click here for more information