Each CAHME-accredited graduate program in health administration may send one team of up to three students. Registrations will be accepted on a first-come/first-served basis. Registration deadline is December 18, 2011. Please complete the online registration form with a registration fee of $200 per team member, $100 per student observer, and $100 per faculty attendee.
Graduate Program (*)
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How many Team Members will be attending? (*)
Please enter numeric value.
Team Captain Name (*)
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Email (*)
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Mailing Address (*)
Please enter a mailing address.
City, State Zip (*)
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Cell Phone (include area code but no dashes or parentheses)
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Resume of Team Captain
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Resume should be limited to one page.
Team Member #2
Name
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Email
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Cell Phone (include area code but no dashes or parentheses)
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Mailing Address
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City, State Zip
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Resume for Team Member #2
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Resume should be limited to one page.
Team Member #3
Name
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Email
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Cell Phone (include area code but no dashes or parentheses)
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Mailing Address
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City, State Zip
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Resume for Team Member #3
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Resume should be one page in length.
Designated Advisor
Faculty Advisor (*)
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Email (*)
Please type your faculty advisor's email address.
Address
Please add your faculty advisor's address.
City, State Zip (*)
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Does your faculty advisor plan to attend the UAB Health Administration Case Competition? (*)
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Faculty Advisors and Student Observers may attend for an additional $100 fee per person.
How many Faculty Advisors will be attending? (*)
Please enter numeric value.
How many Student Observers will be attending? (*)
Please enter numeric value.
We will videotape the preliminary rounds and the final round. For an additional $50 per team, you can purchase the video.
Request for Video (*)
Please choose whether you would like to purchase the video.
(*) beside the field name indicates that the field must be completed in order to submit the form
Please submit this form on-line. Payment may be made online or by sending a non-refundable check for the appropriate amount based on the number of team members, student observers and faculty members attending and should be made payable to The University of Alabama at Birmingham to: Randa Hall, The University of Alabama at Birmingham, 1530 3rd Avenue South, Webb Building - Room 503, Birmingham, AL 35294-3361.
We plan to pay our registration fee by (*)
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Registration 