ABNF Conference Call for Abstracts

CALL FOR ABSTRACTS

Association of Black Nursing Faculty - 2020 Scientific Conference and Meeting
Please be prepared to complete your submission in one setting. This form cannot be saved.

SUBMISSION DEADLINE: March 1st annually
Title of Paper/Poster Presentation*
Presentation Type Requesting*

PodiumPoster
Lead Presenter:*

Full NameCredentials
Home Address*
Agency Affiliation*
Professor Rank/Position*
Phone*
Fax
E-mail*
If student, indicate level
If student, indicate level:

DoctoralMastersUndergraduate
Please upload Lead Presenter Resume/CV*

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Co-presenters
Please enter your Co-presenter's contact information below. You may enter up to 3 Co-presenters. Click the save button after each co-presenter's submission to save them to your proposal.
Co-presenter
Co-presenter
Co-presenter
Please upload Co-presenter Resume/CV (Required if Co-presenter is listed above)

Upload a File

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Please upload Co-presenter Resume/CV (Required if Co-presenter is listed above)

Upload a File

Cancelof
Please upload Co-presenter Resume/CV (Required if Co-presenter is listed above)

Upload a File

Cancelof
If selected, I (including co-presenters) agree to present a paper or poster at the 2020 ABNF Conference; give permission for inclusion of my abstract in the conference proceedings and publications; agree to register and submit payment for the annual conference with the call for abstract forms; and assume responsibility for my own transportation and lodging. TYPE NAME HERE INDICATING ACKNOWLEDGE AND AGREEMENT TO THE ABOVE.*
Submit checks, payable to:

Association of Black Nursing Faculty
Note: Conference Registration
4952 Clarendon Terrace
Frederick, MD 21703

Payonline at: www.abnf.net

Inquiries to: abnf.treasurer@gmail.com

If your abstract is not accepted, conference registration will be refunded.

Mississippi Nurses Foundation - Conflict of Interest Form
Event: Association of Black Nursing Faculty Annual Scientific Conference
Activity Date:*
i.e. 2018, ABC Conference, Alabama
Role in Educational Activity:*
Name:*
Phone Number:*

Area CodePhone Number
Email:*
example@example.com
Current Employer:*
Position/Title:*
i.e. Administrators, directors, teachers, trainers,aides or students?
Conflict of Interest
The potential for conflicts of interest exists when an individual has the ability to control or influence the content of an educational activity and has a financial relationship with a commercial interest,* the products or services of which are pertinent to the content of the educational activity. Relevant relationships must be disclosed to the learners during the time when the relationship is in effect and for 12 months afterward. All information disclosed must be shared with the participants/learners prior to the start of the educational activity. Relevant relationships, as defined by ANCC, are relationships with a commercial interest if the products or services of the commercial interest are related to the content of the educational activity.
Is there an actual, potential or perceived conflict of interest for yourself or spouse/partner?*

If yes, complete the following table for all actual, potential, or perceived conflicts of interest.

Describe conflict below
** All conflicts of interest, including potential ones, must be resolved prior to the planning, implementation, or evaluation of the continuing nursing education activity.
Statement of Understanding
Completion of the line below serves as the electronic signature of the individual completing this Biographical/Conflict of Interest Form and attests to the accuracy of the information given above.
Type name and credentials below:

ABNF Biographical Data/Introduction Form
Type name and credentials below:
Position/Title:*
i.e. Administrators, directors, teachers, trainers,aides or students?
Education (Highest Degree):
Education (Nursing Preparation Degree):
Education (Other):
Briefly describe your professional experience or areas of expertise in 3 – 5 sentences you would like shared with the audience during your introduction. *
THANK YOU!
Should be Empty:

CALL FOR ABSTRACTS