JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration form for BOLD-AIR Summit 2023
BOLD-AIR will take place
June 12, 2023
at the
Murphy Auditorium at NYU Langone Health, 550 First Avenue, New York, NY.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Degree
*
Your answer
Specialty
*
Your answer
Institution
*
Your answer
Address 1
*
Your answer
Address 2
Your answer
City
*
Your answer
State
Your answer
ZIP
*
Your answer
Country
*
Your answer
Type of Practice
*
Academic
Private
Industry
Other:
Are you currently engaged in AI Radiology research?
*
Yes
No
If yes, could you elaborate?
Your answer
Are you currently using AI in clinical workflow?
*
Yes
No
If yes, could you elaborate?
Your answer
Do you have any comments for us?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
