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2014 CCTS Summer Program in Clinical and Translational Research Methods Registration

 

 

 

 

 

Question 6

required6. UIC Faculty/Staff/Student
 
 

 

 

Question 9

required9. Current Position (check all that apply)
 
 
 
 
 
 
 
 
 
 
 

Question 10

required10. Payment Type ($75 for UIC employees and students; $300 for non-UIC attendees)
 
 
If paying by check, please send to: UIC Center for Clinical and Translational Science Medical Center Administration Building (m/c 595) ATTN: Susan Lynch 914 South Wood Street, Room 335 Chicago, Illinois 60612

 

To Save and Finish Later enter your email address and click the "Save and finish later" button. You will receive an email with a link to return to this Form to finish it later.
 

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