Attendee Registration

This is an in-person and invite-only gathering of:

NIH & internal stakeholders · Invited speakers & panelists · Partner institutions & collaborators · Government agencies (FDA, NIST, ARPA-H, NCATS) · Industry & pharmaceutical partners · Clinicians & physician-scientists · Professional societies · Academia

If you were not formally invited and would like to attend please email NIHSOMCC@mail.nih.gov.

December 10th will be open to all invited

December 11th will be a closed session to discuss recommendations from the prior day - open only to NIH SOM Leadership, NIH IC Executive Committee, and selected external representatives and speakers.

If you are only available virtually, please contact the NIH SOM Coordinating Center at NIHSOMCC@mail.nih.gov.

OMB No.: 0925-0740
Expiration Date: 11/30/2028

Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0740). Do not return the completed form to this address.

General Information

Prefix

First Name

Last Name

Suffix

Position

I'm a foreign national

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PLACEHOLDER TEXT (replaced by conference_form_settings module)

Affiliation Type

I work at the NCI at Frederick

Please carefully type the name of your affiliating institution (i.e. the institution where your lab operates). Any text you enter in this field will be displayed on your Conference ID Badge. Examples: West Virginia University, Frederick National Laboratory, Seattle Grace Hospital.

Are you a NIH Badge Holder, U.S. Citizen, or Permanent Resident with a green card?

Speaker Label

Profile Image

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Provide a portrait image of the speaker. This image may be used to display with the speakers session information.
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50 MB limit.
Allowed types: gif jpg png svg.

Contact Information

Phone

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Disclaimer: Photographs, video, and live streaming may occur during this conference for social media and other event publicity purposes. Your registration and/or participation in the meeting indicates your consent to be photographed and grants the National Institutes of Health the right to copy, distribute, and/or exhibit name(s) and/or picture(s) of you.

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