Form 1 2021 RDoC Genomics Virtual Workshop registration

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

2021 NIMH RDoC Genomics Virtual Workshop_Registration Form

NIMH RDoC Genomics Virtual Workshop (NIMH)

OMB: 0925-0740

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0740 can be found here:

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OMB Control Number: 0925-0740

Expiration Date: 7/31/2022

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NIMH VIRTUAL WORKSHOP

INTEGRATING GENOMICS WITH DIMENSIONAL AND TRANSDIAGNOSTIC APPROACHES TO ADVANCE MENTAL HEALTH RESEARCH

APRIL 6, 2021 | APRIL 15, 2021

11:00 AM – 5:00 PM EST

ZOOM WEBINAR

Order Summary

1 x Attendee $0.00

Delivery $0.00

1 x eRegistration

Total $0.00

Registration will be open until Thursday, April 1^st.

Contact Information

First Name* ________________________

Last Name* ________________________

Email Address* ________________________

Registration 1 – Attendee

Prefix ________________________

First Name* ________________________

Last Name* ________________________

Suffix ________________________

Email Address* ________________________

Job Title* ________________________

Company* ________________________

City, State* ________________________

Country* ________________________

I will attend: *

Shape1 DAY 1: Tues., April 6th (11:00AM – 5:00 PM ET)

Shape2 DAY 2: Thurs., April 15th (11:00AM – 5:00 PM ET)

Shape3 BOTH DAYS

Area of Expertise (e.g. human genetics, neuropsychiatry, biology, etc.) * ________________________

Shape4 Keep me updated on the latest news, event, and exclusive offers from this event organizer.

Shape5 Eventbrite can send me emails about the best events happening nearby.

Shape6 Register

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Woodward, Katherine (NIH/NIMH) [C]
File Modified	0000-00-00
File Created	2022-02-01