Form Test | KCRS | The Kidney Cancer Research Summit by KidneyCAN

SECTION 1 - Submitter Information

Each proposal must have one primary submitter who will serve as the main contact person. Additional supporting submitters may be listed (up to 5).

Primary Submitter's Name(Required)

Institution/Company(Required)

What years have you attended KCRS?(Required)

Your Title(Required)

Email(Required)

Would you like to add Supporting Submitters?(Required)

YES

NO

Second Submitter Information

Please provide the following information for each individual listed as as submitter.

Supporting Submitter(s)(Required)

Institution/Company(Required)

What years has this person attended KCRS?(Required)

Title(Required)

Email(Required)

Would you like to add a third Supporting Submitter?(Required)

YES

NO

Third Submitter Information

Supporting Submitter(s)(Required)

Institution/Company(Required)

What years has this person attended KCRS?(Required)

Title(Required)

Email(Required)

Would you like to add a fourth Supporting Submitter?(Required)

YES

NO

Fourth Submitter Information

Supporting Submitter(s)(Required)

Institution/Company(Required)

What years has this person attended KCRS?(Required)

Title(Required)

Email(Required)

Would you like to add a fifth Supporting Submitter?(Required)

YES

NO

Fifth Submitter Information

Supporting Submitter(s)(Required)

Institution/Company(Required)

What years has this person attended KCRS?(Required)

Title(Required)

Email(Required)

SECTION 2 – Proposed Session Title & Format

Proposed Session Title(Required)

Proposed Session Format (select one)(Required)

Please keep in mind that KCRS sessions are not standard lecture-style talks. The expectation is that speakers will keep presentations concise, encourage questions from the floor, and foster conversation among investigators at every stage of their careers.

Standard Session – 45-60 min (3–4 speakers, 6–8 min each, ≥40% for discussion/Q&A)

Extended Education Session – 75-90 min (3-5 speakers, 10-15 minutes, extended structured discussion time, deep dive into complex/emerging topic)

Alternate Format – e.g., moderated panel (please describe in box below)

Alternate Format

SECTION 3 – Session Overview

Provide a short (100–250 word) description in paragraph form.(Required)

SECTION 4 – Session Objectives

Provide 2-3 session objectives.(Required)

SECTION 5 – Proposed Moderators

Each session may include up to 2 moderators. Please complete all information for each proposed moderator. All proposed moderators must be notified prior to submission. Final selection will occur after proposal acceptance.

Moderator Name(Required)

Institution/Company(Required)

Title(Required)

Email(Required)

Moderator 2 Name

Institution/Company 2

Title 2

Email 2

SECTION 6 – Proposed Session Speakers & Topics

Each session may include up to 5 speakers. Please complete one set of information per proposed speaker. All proposed speakers must be notified prior to submission. Final selection will occur after proposal acceptance.

Speaker Name 1(Required)

Institution/Company 1(Required)

Title 1(Required)

Email 1(Required)

Assigned Topic 1(Required)

Would you like to add a second session speaker?(Required)

YES

NO

Second Session Speaker

Speaker Name 2(Required)

Institution/Company 2(Required)

Title 2(Required)

Email 2(Required)

Assigned Topic 2(Required)

Would you like to add a third session speaker?(Required)

YES

NO

Third Session Speaker

Speaker Name 3(Required)

Institution/Company 3(Required)

Title 3(Required)

Email 3(Required)

Assigned Topic 3(Required)

Would you like to add a fourth session speaker?(Required)

YES

NO

Fourth Session Speaker

Speaker Name 4(Required)

Institution/Company 4(Required)

Title 4(Required)

Email 4(Required)

Assigned Topic 4(Required)

Would you like to add a fifth session speaker?(Required)

YES

NO

Fifth Session Speaker

Speaker Name 5(Required)

Institution/Company 5(Required)

Title 5(Required)

Email 5(Required)

Assigned Topic 5(Required)

SECTION 7 – Potential Challenges/Barriers to Change

Identify potential challenges that may prevent implementation of ideas from this session. Examples: lack of resources, reimbursement, expertise.

Potential Challenges/Barriers to Change(Required)

SECTION 8 – Additional Notes (optional)

Use the space below for additional comments or relevant publications/data that support your proposal. Note: After selection, speakers with multiple accepted invitations may be asked to choose one session to ensure program diversity.

Additional Notes

Submission Instructions

Session Proposals KCRS26

SECTION 1 - Submitter Information

Second Submitter Information

Third Submitter Information

Fourth Submitter Information

Fifth Submitter Information

SECTION 2 – Proposed Session Title & Format

SECTION 3 – Session Overview

SECTION 4 – Session Objectives

SECTION 5 – Proposed Moderators

SECTION 6 – Proposed Session Speakers & Topics

Second Session Speaker

Third Session Speaker

Fourth Session Speaker

Fifth Session Speaker

SECTION 7 – Potential Challenges/Barriers to Change

SECTION 8 – Additional Notes (optional)

Thank You to the KCRS26 Partners & Sponsors

Founding Partner

Sustaining Partners

Research Sponsors

Community Sponsors

Friends of KidneyCAN

Sponsorship Opportunities