Health Administration Case Competition Registration

Each CAHME-accredited graduate program may send ONE team of up to three students. Registrations will be accepted on a first-come/first-served basis up to the maximum of 36 teams. Please complete this online registration form with a registration fee of $250 per team member, $150 per student observer, and $150 per faculty attendee. By December 21st, we need to know if your university plans to participate, how many team members will compete, number of faculty members, number of student observers and payment of your registration fee. We will send a request for the Team Members' contact information in January before the case is distributed.


If you need assistance or have questions, please contact: Randa Hall, randahall@uab.edu or (205) 934-3332.

University Name: (*)

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Faculty Adviser Information

How many Faculty Advisers will be attending? (*)

Please enter numeric value.
Faculty Adviser's Full Name (including degrees Ph.D., DSc, etc) (*)

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Faculty Adviser's Email (*)

Please type your faculty advisor's email address.
Faculty Adviser's Mailing Address (*)

Please add your faculty advisor's address.
Faculty Adviser's City, State Zip (*)

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Team Member Information

How many Team Members will be attending? (*)

Please enter numeric value.


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Team Captain's Name

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Team Captain's Email

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Team Captain's Cell Phone (include area code but no dashes or parentheses)

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Team Captain's Mailing Address

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Team Captain's City, State Zip

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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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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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Faculty Advisers and Student Observers may attend for an additional $150 fee per person.


Student Observer Information

How many Student Observers will be attending? (*)

Please enter numeric value.


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Name of Student Observer #1:

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Email Address of Observer #1:

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Name of Student Observer #2

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Email Address of Observer 2:

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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.

PAYMENT METHODS:

Payment by Check:

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- or -

Payment with Credit Card:


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Does your university require an invoice?

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Please enter the following characters: (*)

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