• Event Type (check all that apply):
  Conference | Seminar(s) | Workshop(s) | General Meeting | Other
  If you chose "Other", please describe:
• Event Title:
  
• Event Description (maximum 600 characters including spaces, or ~100 words:):
  
• Event's Location:
  
• Event's Date & Time:
  
• Identify any associated Events (e.g. regional meeting taking place at a national meeting, etc.)
  
• Intended Audience:
  
• Registration Methods:
  
• Registration Deadlines (if none, state "none"):
  
• Registration Fees (if none, state "none"):
  
• Credits to be given to audience (if none, state "none")):
  
• Public Contact (office or person for public to contact for information):
  
• URL for additional information about the event (if none, state "none"):
  
• 
  For GHEC use only:
• Post until (month/day/year):
  
• Event Coordinator's Contact Information:
  Name:
  
  Address:
  
  Phone:
  
  Fax:
  
  Email:
  
• If a GHEC Regional Conference, (name of GHEC faculty/student/resident member & affiliated institution):
  
  
  
  
  

GHEC Secretariat
305 West Broadway #332
New York, NY 10013
Tel: (646) 831-3220
Fax: (646) 839-2707
Email: info@globalhealth-ec.org