TTS-ISOT La Renon International Basic and clinical sciences Mentee-Mentor Awards


Mentee Information

Abstract Number(s) of Submitted Abstract(s) (*)
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Confirmation that as of April 26, 2024 you are a TTS Member or have applied for membership (*)

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Confirmation that as of April 26, 2024 you are an ISOT Member or have applied for membership (*)

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Salutation (e.g. Dr. Prof.)
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First Name (*)
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Last Name (*)
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Credentials (e.g. PhD, MSc)
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Position or Job Title
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Department
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Institution or Company (*)
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Address
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City (*)
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State or Province (Canada/USA ONLY)
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Country (*)
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Postal/ZIP Code (*)
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Telephone (*)
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Fax
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Email (*)
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Abstract Submitted (.doc or .pdf - Maximum 1 MB) (*)
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Letter from Department Chair confirming the training status of the Mentee (maximum 1 MB) (*)
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Mentor Information

Confirmation that as of April 26, 2024, you are a TTS Member or have applied for membership (*)

Required
Confirmation that as of April 26, 2024, you are an ISOT Member or have applied for membership (*)

Required
Salutation (e.g. Dr. Prof.)
Invalid Input
First Name (*)
Invalid Input
Last Name (*)
Invalid Input
Credentials (e.g. PhD, MSc)
Invalid Input
Position or Job Title
Invalid Input
Department
Invalid Input
Institution or Company (*)
Required
Address
Invalid Input
City (*)
Required
State or Province (Canada/USA ONLY)
Invalid Input
Country (*)
Required
Postal/ZIP Code (*)
Required
Telephone (*)
Required
Fax
Invalid Input
Email (*)
Required
I am not a robot (*)
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