American Psychoanalytic Association
2021 National Meeting
Poster Submission – Poster Face Sheet
1. Title of Poster: Title should be no longer than 130 characters
2. List of authors: Up to four authors may be listed. Author 1 will be considered the primary point of contact, to whom all communications are sent.
Author 1
Name, Degree:
Institutional affiliation (if any) and address:
Email:
Phone:
Are you a member of APsaA?
Primary disciplinary affiliation:
Is the first author a new or early career investigator and wishes to be considered for the American Psychoanalytic Association Poster Award?
(check one)
Yes ______ No__________
If selected, would the author be interested and available to participate in one of two scheduled live chat sessions about their project with conference attendees? (The live chats will be held on Saturday February 13th from 5-6pm EST and Saturday February 20th from 1-2pm EST).
Yes ______ No__________
Author 2
Name, Degree:
Institutional affiliation (if any) and address:
Email:
Phone:
Are you a member of APsaA?
Primary disciplinary affiliation:
Author 3
Name, Degree:
Institutional affiliation (if any) and address:
Email:
Phone:
Are you a member of APsaA?
Primary disciplinary affiliation:
Author 4
Name, Degree:
Institutional affiliation (if any) and address:
Email:
Phone:
Are you a member of APsaA?
Primary disciplinary affiliation:
