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Medical Scholars Program
2005 Allerton Research Symposium
25th Anniversary Celebration!

Saturday, August 27-Sunday, August 28, 2005

Allerton Park & Conference Center
Monticello, IL
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Event Recap andPhotos

Fall MSP Apparel
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Student Research Oral Presentation

Speaker Information

Thank you for accepting the invitation to speak at this year's COM research symposium. Please provide the following information and then click submit below.

* Required fields

*Name:

*Department:

*E-mail address:

*Phone number:

Ex. (123) 456-7890

*Advisor:

*Advisor e-mail:

*Will your advisor be introducing your talk?

Yes
No

        If not, who will?

*Talk Title:

*Author(s):

Separate with commas

*Abstract:

Biographical sketch:

Audiovisual requirements: Please tell us what operating system you require (ie. Mac/Windows)

Picture:
Please provide a picture to be included in the printed program.

You may also e-mail the picture as an attachment to mspo@illinois.edu, or e-mail mspo@illinois.edu to schedule an appointment to have a picture taken.

Comments or Special Instructions:

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