2025 Margie & Robert E. Petersen Research Symposium Registration Your Name(Required) First Last Street Address(Required)Address Line 2City(Required)State(Required)Zip(Required)Country(Required)Phone(Required)Email(Required) NETRF Affiliation(Required) NEN Clinician NEN Researcher NEN Physician Scientist NETRF Board of Directors NETRF Board of Scientific Advisors Other If NETRF Affiliation is "other", please specify here.Is this your first time attending the NETRF Annual Symposium?(Required)YesNoAre you a NETRF Grantee?(Required)YesNoHighest Degree(Required)MDPhDMD, PhDOtherIf degree is "other", please specify here.Title/Academic Rank(Required)Assistant ProfessorAssociate ProfessorFull ProfessorPostdoctoral FellowClinical FellowGraduate StudentStaff ScientistOtherIf title/academic rank is "other", please specify here.Institution/Company NameInstitution CountryInstitution StateLab/PI Name (if applicable)What type of research do you primarily conduct?BasicTranslationalClinicalEpidemiologyOtherIf type of research is "other", please specify here.On which type of NEN do you focus your research?GastrointestinalPancreasLungPheo/ParaMultiple NENsOtherIf your NEN focus is "other", please specify here.List any accessibility accommodations you may need to participate in the meeting (e.g. sign language interpreters or accessible seating).Specify if you have any food allergies and/or dietary restrictions.What are your preferred pronouns?She/HerHe/HimThey/ThemPrefer not to shareOther (please input below)Please specify desired pronouns if you chose "other" above:Consent(Required) By checking this box, I acknowledge and agree to comply with all of the terms and conditions in the Social Media and Confidentiality Policy.Purpose: To ensure that all participants respect the integrity and confidentiality of presented data while promoting healthy discussions and the sharing of knowledge at the 2025 NETRF Research Symposium. 1. Confidentiality: – Some sessions and/or conversations may contain sensitive or unpublished data. Attendees should respect confidentiality and not disclose, photograph, or record any of these materials and/or conversations. – If unsure about the confidentiality of specific data or sessions, please ask the presenter or conference organizers before sharing. – The sessions will be recorded by NETRF to be shared on the NETRF website at a later date. Presenters should not share confidential information in their presentations because NETRF cannot edit specific slides out of the posted videos. 2. Social Media Sharing: – Attendees are encouraged to share general insights, topics, and excitement about the conference on social media using #NETRFSymposium2025. – Presenters should declare posters or oral presentations as confidential if they do not want them to be shared via social media. – Attendees should not post detailed scientific data, slides, posters, or other presentation materials to social media if the presenter has asked for confidentiality. 3. Respect for All Participants: – Please be respectful, constructive, and professional in all online and offline communications related to the conference. – Harassment or offensive comments relating to the conference or its attendees will not be tolerated and may result in the offender being banned from future events. Our goal is to facilitate the free exchange of ideas in a respectful, collaborative, and confidential environment. Let's work together to make the 2025 NETRF Research Symposium a success!I consent to being contacted by NETRF and added to their database.(Required) YES NO Δ
