University of Wisconsin–Madison

Precision Medicine Seminar Series Nomination Form

PMSS Nomination Form

Nomination form for speakers for the Precision Medicine Seminar Series hosted by the Center for Human Genomics and Precision Medicine.

This field is for validation purposes and should be left unchanged.
Your Name(Required)
Date(s) you are availabe to host:(Required)
Please select all that apply
MM slash DD slash YYYY
Speaker Name:(Required)
Possible Topic for talk:
Please select the category this talk best fits under (Consider where CHGPM intersects with their area of expertise). Please select all that apply
Target audience (select all that apply)
If you selected "other" for either topic or target audience above, please describe.

Additional Questions

How do you see this speaker interacting with the UW/CHGPM community? Please nominate 3 people who you think would be interested in meeting with this speaker and provide reasons why you nominated this person.
Please provide a short statement on how hosting this speaker fits within your professional development (i.e. – nominee is on a particular study section, want to collaborate, possible recruitment, etc.).
Please provide a short justification statement for why CHGPM should select this speaker including how it fits with the Center’s goals