Do you have any dietary restrictions or preferences?
Will you require any accessibility accommodations to participate in the meeting?
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Career Stage
Year of Most Recent Degree Completion (or expected year, if in progress)
What is your race or ethnicity? (Check all that apply)
Other race, ethnicity, or origin
This is the 9th annual CAIRIBU Meeting. How many have you attended prior to this one?
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Within which research classification(s) below does your work primarily fall? (NOTE: this is the T0 to T4 classification system endorsed by the National Institutes of Health )
Other research classifications
What is your primary focus of research or clinical practice within the genitourinary tract? (Select one)
Other Primary Focus of Research or Clinical Practice
Which professional organizations or scientific societies have you are involved with or have attended meetings for in the past 2-3 years. (Select all that apply, whether or not you are an official member.)
Other Professional Organizations
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CAIRIBU Trainee & ESI Social
Do you plan to attend the CAIRIBU Trainee Social at Camp Tripalindee located on the rooftop of The Graduate Hotel on Tuesday, December 8th from 6:00 PM - 9:00 PM? There is no cost to register for this event. Food and drink will be available for purchase .
Additional Programming on Friday, December 11
The CAIRIBU Annual Meeting programming is currently scheduled to conclude at 1:30 PM CT on Friday, December 11. We are considering “bonus” programming that afternoon for those who do not have to leave Madison until later. Are you interested in attending additional sessions or “bonus” programming that afternoon if offered?
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Parking Permit (non-refundable)
Valid: Wednesday, December 9 - Friday, December 11
**If you are staying at a local hotel, we recommend purchasing parking directly through them. This permit will provide access to a campus lot located near the meeting sites.
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Payment
*University of Wisconsin-Madison attendees cannot pay for registration with a University Purchasing Card - please select 'Worktag' and email conferences@union.wisc.edu to complete payment.
Please make all checks payable to: UW Conferences & Events – CAIRIBU
Mail Check Payments to: UW Conferences & Events Conference & Registration Services 702 Langdon St Madison, WI 53706
Doing Business As: The charge will appear on your credit card statement as WU-Conference Management.
Privacy Statement: The University of Wisconsin does not sell, rent, trade or distribute any personally identifiable information obtained from clients to a third party, except in cooperation with government agencies or as required by law.
Please contact us at UW Conferences & Events - Conference & Registration Services, 608-890-1077 or conferences@union.wisc.edu
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