Ohio Chapter Resident Jeopardy
May 9, 2025 | 5:30 pm - 6:30 pm
I would like to sign up as a:
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Team
Individual (I need a team)
Name
*
First Name
Last Name
Credentials
*
Preferred Email:
*
example@example.com
Phone:
*
Institution:
*
I understand that all team members must register for the meeting to participate in Resident Jeopardy:
*
Yes
Team Members
Team Member Name
First Name
Last Name
Team Member Credentials
Team Member Email:
example@example.com
Team Member Phone:
Team Member Institution:
If selected, my program agrees to give me time off to attend the entire Ohio ACS conference (May 9-10th). This is not required, but preference will be given to participants who are able to attend the entire conference
*
Yes
No
Submit
Should be Empty: