·  Design a poster that has a specific focus in public health; following the theme of the 2017 NYSPHA Annual Conference: Team Care Prevention Agenda & Effective Behavior Change; DSRIP Projects – Achievements from the Field to Improve Population Health; The Intersect of Clinical Care with Public Health – Connecting Health Care and Prevention; New Frontiers in Academia and Community Health; Successful Grant Writing and NYS Grant Gateway Navigation Tips; Opioid Epidemic & Health Impact on People with Mental Illness/Substance Abuse Issues; Addressing Social Determinants of Health; Improving Employee Health: Worksite Wellness Best Practices

·  You will be contacted through e-mail for confirmation of this entry form upon submission AND if your poster is selected to be showcased at the conference by April 7, 2017.

·  Students are encouraged to attend the Annual Meeting, but aren’t required to be present to compete; however previous poster sessions show student presence is favorable. (In order to receive the FREE registration and stipend you must be present). Posters will be displayed from 12pm-3pm with oral presentations recommended from 2:30pm-3:00pm on Thursday April 27 at High Peaks Resort, Lake Placid.

·  If you do not attend the conference it will be your responsibility to mail your poster in advance, if selected to display. Arrangements can be made with the coordinator at a later date.

·  Posters should be no larger than 48” X 48”, be able to stand freely on an easel that will be provided (paper posters should be supported by thicker backing or clip to an easel-you must provide supplies to hang/hold up your poster if it’s “flimsy” material).

·  Color, design, graphs, charts etc. and overall format is up to the participant; however a portion of the grading will result from overall physical presentation of the poster.

·  Please (scan) e-mail your entry form with original signatures or mail a hard copy to the address above by COB on 3/31/17. No late entries will be accepted.

·  Please E-mail or send postal completed entry form by 3/31/17 to:

E-mail:

Postal: Denise C. Tahara, New York Medical College, School of Health Sciences & Practice, Room 307, Valhalla, NY 10595

For Questions Contact:

Denise C. Tahara, NYSPHA Vice President, Student Poster Coordinator

or call: (914)594-4250

NYSPHA Poster Competition Entry Form

Date: ______

Student Name: ______

Student e-mail: ______

Student phone #: ______

Student University/College: ______

1.  Topic of your poster: ______

2.  Have you displayed or used your poster for another event/class?

3.  (If yes, where/why?) :______

Poster topics need to be in the theme of “Improving Public Health: Advocating & Activating for Change” and focus areas may include:

·  Team Care Prevention Agenda & Effective Behavior Change

·  DSRIP Projects-Achievements from the Field to Improve Population Health

·  The Intersect of Clinical Care with Public Health-Connecting Health Care and Prevention

·  New Frontiers in Academia and Community Health

·  Successful Grant Writing & NYS Grant Gateway Navigation Tips

·  Opioid Epidemic & Health Impact on People with Mental Illness/Substance Abuse Issues

·  Addressing Social Determinants of Health

·  Improving Employee Health: Worksite Wellness Best Practices

Write a short paragraph to summarize the topic of your poster (e.g. focus, target audience, hypothesis, findings etc.).

Why should we select your poster to showcase at the 2017 NYSPHA Annual Conference?

By signing this form, I certify that this is my original work and give permission to display my work, my name, and my photo. I acknowledge that submitted materials are the property of NYSPHA and may not be returned unless requested.

Student Signature: ______

Student’s Institution: ______

Name and Signature

of Sponsoring Dean

or Instructor: ______

Please send completed entry form to Denise C. Tahara by 3/31/17 to:

E-mail: or Postal: Denise C. Tahara, New York Medical College, School of Health Sciences & Practice, Room 307, Valhalla, NY 10595

2017 NYSPHA Annual Meeting ● Improving Public Health: Advocating & Activating for Change ● Student Poster Competition