Please briefly explain the format of your panel (e.g., moderated Q&A, presentations followed by Q&A, etc.) (100-150 words) *
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Please explain the topic or unifying theme of your panel. Be sure to elaborate on how this topic or theme is relevant to health system change (100-150 words) *
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Please elaborate on how your panel exemplifies transdisciplinary collaboration (100-150 words) *
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Please describe how you will incorporate theory, application, and policy/practice implications into your panel (150-200 words) *
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Please provide the name and pronouns of your first panelist *
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Please provide the bio of your first panelist (200 words max) *
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Please provide the name and pronouns of your second panelist *
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Please provide the bio of your second panelist (200 words max) *
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Please provide the name and pronouns of your third panelist
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Please provide the bio of your third panelist (200 words max)
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Please provide the name and pronouns of your fourth panelist (if applicable)
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Please provide the bio of your fourth panelist (if applicable, 200 words max)
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Please provide the name and pronouns of the moderator *
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Please provide the bio of your moderator (Max 200 words) *
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Please advise your preferred presentation date. You may select more than one. *