MMR Dates/Times

CURE Session
10:00am–12:15pm EDT

EIAP Session
1:15pm–3:30pm EDT

CURE & EIAP Panel Discussion
3:45pm–5:30pm EDT

Contact Information

For MMR-related questions please contact:
Michelle Murray
conferences@luminacorps.com

Registration

OMB No.: 0925-0740
Expiration Date: 9/30/2025

Collection of this information is authorized by The Public Health Services Act, Section 410 (42 U.S.C. § 285 : US Code - Section 285: Purpose of Institute). Rights of applicants are protected by The Privacy Act of 1974. Participation is voluntary, and there are no penalties for not submitting this information. Refusal to participate will not affect your benefits in any way. The information collected will be kept private to the extent provided by law and only made available to other meeting attendees. The information gathered through this registration page will help the conference organizers plan the meeting.

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0740). Do not return the completed form to this address.

The MMR is by invitation only.

You are required to register and accept the confidentiality agreement to participate in the Mentored Mock Review. Please complete the form below to register.

Registration Deadline: Friday, June 30, 2023

If you need to update your registration, please click here.
You must use your official registered email address to access your registration.

*Denotes a Required Field.

CONTACT INFORMATION *Prefix:

Prefix is required.

Other:

You selected 'Other' for Prefix.
Please enter some explanatory text.

*First Name:

First Name is required.

Middle Initial:
*Last Name:

Last Name is required.

*Degree(s):

Degree is required.

Other:

You selected 'Other' for Degree(s).
Please enter some explanatory text.

*Title:

Title is required.

Division:
*Affiliation:

Affiliation is required.

*Address 1:

Address is required.

Address 2:
*City:

City is required.

*State/Province:

State/Province is required.

*Country:

Country is required.

*Postal Code:

Postal Code is required.

A valid Postal Code is required.
(Format: XXXXX or XXXXX-XXXX).

*Phone:

Phone Ext.:

Phone is required.

*Email:

A valid Email is required.

ASSISTANT INFORMATION First Name:
Last Name:
Phone:
Email:

A valid Assistant's Email is required.

CAREER LEVEL

*Please select your Career Level. Non-grantees should select "Not Applicable."

*Career Level:

A Career Level selection is required.

SUPPORT STATUS

*Please select your support status. Non-grantees should select "Not Applicable."

*Support Status:

A Support Status selection is required.

ATTENDEE TYPE

Please select your attendee type.

*Attendee Type:

An Attendee Type selection is required.

CONFIDENTIALITY AGREEMENT

Click here to review the confidentiality agreement.

You must accept the confidentiality agreement in order to register for the Mentored Mock Review.

*By checking this box, I confirm that I have read and will abide by the confidentiality agreement.

SPECIAL ACCOMMODATIONS

If you require assistive services or other reasonable accommodations to participate in this virtual workshop, please list them below or email Ms. Michelle Murray at conferences@luminacorps.com to discuss your needs. Please notify Ms. Murray at least 10 days prior to the workshop.

Special Accommodations