{"id":487,"date":"2015-12-01T13:53:15","date_gmt":"2015-12-01T18:53:15","guid":{"rendered":"https:\/\/med.virginia.edu\/dom\/?page_id=487"},"modified":"2016-02-09T09:25:53","modified_gmt":"2016-02-09T14:25:53","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/med.virginia.edu\/dom\/education\/research-scholars-day-old\/registration-form\/","title":{"rendered":"Registration Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Research & Scholars Week Registration Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/dom\/wp-json\/wp\/v2\/pages\/487' data-formid='3' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LebeGYrAAAAAP5BASaCDpdLeg5wBa6YY3ZS7nZh' data-tabindex='0'><input id=\"input_bfdac43ce5b88fb280a46e2b292cbf67\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_bfdac43ce5b88fb280a46e2b292cbf67\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_2\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Registration Form<\/h2><div class='gsection_description' id='gfield_description_3_2'>This is the registration and abstract submission form for the Department of Medicine's Research and Scholars Week 2026. THE DEADLINE FOR SUBMITTING ABSTRACTS IS MIDNIGHT ON THURSDAY, MARCH 26, 2026.<\/div><\/li><li id=\"field_3_1\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_1'>Your Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_1' id='input_3_1' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'>Subject<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_3\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_3'>Research Week Registration<\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_4'>\n                            \n                            <span id='input_3_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.3' id='input_3_4_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_4_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.6' id='input_3_4_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_4_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Position<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_5'>\n\t\t\t<li class='gchoice gchoice_3_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Faculty'  id='choice_3_5_0'    \/>\n\t\t\t\t<label for='choice_3_5_0' id='label_3_5_0' class='gform-field-label gform-field-label--type-inline'>Faculty<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Fellow'  id='choice_3_5_1'    \/>\n\t\t\t\t<label for='choice_3_5_1' id='label_3_5_1' class='gform-field-label gform-field-label--type-inline'>Fellow<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='Resident'  id='choice_3_5_2'    \/>\n\t\t\t\t<label for='choice_3_5_2' id='label_3_5_2' class='gform-field-label gform-field-label--type-inline'>Resident<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='Graduate Student'  id='choice_3_5_3'    \/>\n\t\t\t\t<label for='choice_3_5_3' id='label_3_5_3' class='gform-field-label gform-field-label--type-inline'>Graduate Student<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_5_4'>\n\t\t\t\t<input name='input_5' type='radio' value='Medical Student'  id='choice_3_5_4'    \/>\n\t\t\t\t<label for='choice_3_5_4' id='label_3_5_4' class='gform-field-label gform-field-label--type-inline'>Medical Student<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_5_5'>\n\t\t\t\t<input name='input_5' type='radio' value='Staff'  id='choice_3_5_5'    \/>\n\t\t\t\t<label for='choice_3_5_5' id='label_3_5_5' class='gform-field-label gform-field-label--type-inline'>Staff<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Specialty of Research Project<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_6'>\n\t\t\t<li class='gchoice gchoice_3_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Allergy, Asthma, and Immunology'  id='choice_3_6_0'    \/>\n\t\t\t\t<label for='choice_3_6_0' id='label_3_6_0' class='gform-field-label gform-field-label--type-inline'>Allergy, Asthma, and Immunology<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Cardiovascular Medicine'  id='choice_3_6_1'    \/>\n\t\t\t\t<label for='choice_3_6_1' id='label_3_6_1' class='gform-field-label gform-field-label--type-inline'>Cardiovascular Medicine<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='Gastroenterology'  id='choice_3_6_2'    \/>\n\t\t\t\t<label for='choice_3_6_2' id='label_3_6_2' class='gform-field-label gform-field-label--type-inline'>Gastroenterology<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_3'>\n\t\t\t\t<input name='input_6' type='radio' value='Endocrinology and Metabolism'  id='choice_3_6_3'    \/>\n\t\t\t\t<label for='choice_3_6_3' id='label_3_6_3' class='gform-field-label gform-field-label--type-inline'>Endocrinology and Metabolism<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_4'>\n\t\t\t\t<input name='input_6' type='radio' value='General Medicine, Geriatrics, Palliative Care and Hospital Medicine'  id='choice_3_6_4'    \/>\n\t\t\t\t<label for='choice_3_6_4' id='label_3_6_4' class='gform-field-label gform-field-label--type-inline'>General Medicine, Geriatrics, Palliative Care and Hospital Medicine<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_5'>\n\t\t\t\t<input name='input_6' type='radio' value='Hematology and Oncology'  id='choice_3_6_5'    \/>\n\t\t\t\t<label for='choice_3_6_5' id='label_3_6_5' class='gform-field-label gform-field-label--type-inline'>Hematology and Oncology<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_6'>\n\t\t\t\t<input name='input_6' type='radio' value='Infectious Diseaeses and International Health'  id='choice_3_6_6'    \/>\n\t\t\t\t<label for='choice_3_6_6' id='label_3_6_6' class='gform-field-label gform-field-label--type-inline'>Infectious Diseaeses and International Health<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_7'>\n\t\t\t\t<input name='input_6' type='radio' value='Nephrology and CIIR'  id='choice_3_6_7'    \/>\n\t\t\t\t<label for='choice_3_6_7' id='label_3_6_7' class='gform-field-label gform-field-label--type-inline'>Nephrology and CIIR<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_8'>\n\t\t\t\t<input name='input_6' type='radio' value='Pharmacy'  id='choice_3_6_8'    \/>\n\t\t\t\t<label for='choice_3_6_8' id='label_3_6_8' class='gform-field-label gform-field-label--type-inline'>Pharmacy<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_9'>\n\t\t\t\t<input name='input_6' type='radio' value='Pulmonary and Critical Care'  id='choice_3_6_9'    \/>\n\t\t\t\t<label for='choice_3_6_9' id='label_3_6_9' class='gform-field-label gform-field-label--type-inline'>Pulmonary and Critical Care<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_10'>\n\t\t\t\t<input name='input_6' type='radio' value='Rheumatology'  id='choice_3_6_10'    \/>\n\t\t\t\t<label for='choice_3_6_10' id='label_3_6_10' class='gform-field-label gform-field-label--type-inline'>Rheumatology<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_3_6'>Please select the specialty most closely aligned with the content of your research project.<\/div><\/li><li id=\"field_3_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">So that we may provide enough refreshments for all, please let us know if you plan to attend the reception.<\/h2><\/li><li id=\"field_3_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I plan to attend the reception<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_8'><li class='gchoice gchoice_3_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='YES'  id='choice_3_8_1'   aria-describedby=\"gfield_description_3_8\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_1' id='label_3_8_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='NO'  id='choice_3_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_2' id='label_3_8_2' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_3_8'>Please indicate if you plan to attend the reception so that we can have sufficient refreshments.<\/div><\/li><li id=\"field_3_9\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Complete this next section only if you are submitting an abstract. Submitting an abstract is not required to register.<\/h2><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'>Abstract Title<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_3_10' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Presenting Author<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_11'>\n\t\t\t<li class='gchoice gchoice_3_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Resident'  id='choice_3_11_0'    \/>\n\t\t\t\t<label for='choice_3_11_0' id='label_3_11_0' class='gform-field-label gform-field-label--type-inline'>Resident<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='Clinical Fellow'  id='choice_3_11_1'    \/>\n\t\t\t\t<label for='choice_3_11_1' id='label_3_11_1' class='gform-field-label gform-field-label--type-inline'>Clinical Fellow<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='Research Fellow'  id='choice_3_11_2'    \/>\n\t\t\t\t<label for='choice_3_11_2' id='label_3_11_2' class='gform-field-label gform-field-label--type-inline'>Research Fellow<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_11_3'>\n\t\t\t\t<input name='input_11' type='radio' value='Other'  id='choice_3_11_3'    \/>\n\t\t\t\t<label for='choice_3_11_3' id='label_3_11_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_13\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'>Attach Abstract<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_13' id='input_3_13' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_13 gfield_description_3_13\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_13'>Accepted file types: pdf, Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_13'><\/div> <\/div><div class='gfield_description' id='gfield_description_3_13'>Please upload your Abstract in PDF format in the style described under Abstract Criteria, where a sample may be viewed.\n<\/div><\/li><li id=\"field_3_15\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'>Untitled<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_3_15' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Would you like your poster considered for the Shyr-Te Ju Award?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_14'>\n\t\t\t<li class='gchoice gchoice_3_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Yes'  id='choice_3_14_0'    \/>\n\t\t\t\t<label for='choice_3_14_0' id='label_3_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='No'  id='choice_3_14_1'    \/>\n\t\t\t\t<label for='choice_3_14_1' id='label_3_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_3_14'>The Shyr-te Ju research Award in Immunology is awarded to the best poster or oral presentation(s) by a trainee in Immunology with significant findings in both clinical or basic immunology related to the immunological basis underlying disease mechanisms and therapies.<\/div><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_3_17' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">When you click SUBMIT, your registration and abstract will automatically be sent to the IM Residency box. If you have any questions, please place them in the comment box above. 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