JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
JingShen Symposium - Emerging Expert Application
Please complete this form as part of your application to present as an Emerging Expert at the 2021 JingShen Symposium - Integrative Adolescent Care
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name and Academic Credentials:
*
Your answer
Email Address:
*
Your answer
Cell Phone Number:
*
Your answer
Current Professional Work:
*
Your answer
Area of Expertise (Select only the topics you would like to be considered for presenting)
*
Body-Mind-Spirit in Youth Athletics
Somatic Experience - "How do you experience your body"
What happens in adoption and foster care systems?
Menarche & Menstruation
Illness of Schools
Caring for Neurodiverse Populations of Adolescents
Caring for Sexually Diverse Populations of Adolescents
Building a Pediatric Practice
Classics of Chinese Medicine Pediatrics
Who am I? Race and identity as a teenager
Required
What unique expertise and experience do you bring to the above discussions?
*
Your answer
The conference will be held in New York, just north of the city - would you plan to attend in person or online?
*
In-person
online
not sure yet (covid unknowns)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
