Enter the Video Contest

First name: * Last name: * Email: * Phone number: * Institution: * Country of institution: * State of institution: (If in the United States) City of institution: * Current training position: * —Please choose an option—Medical StudentMedical InternMedical ResidentMedical FellowGraduate Student: Biomedical ResearchPostdoc Fellow: Biomedical ResearchMPH Student or Public Health Graduate StudentOther Graduate Health-Profession Student Elaborate if you selected "Other Graduate-Health Profession Student" above: Video: * Valid attachment types: mov, mp4, m4v Max file size: 250 MB

How did you hear about the video contest? * —Please choose an option—FriendsLasker websiteSocial mediaInstitutionOther

Elaborate if you selected "Other" above: Terms and conditions *

By submitting my video, I signify that I agree to the Albert and Mary Lasker Video Contest terms and conditions:

* I grant the Albert and Mary Lasker Foundation permission to publish all or parts of my video on their website and in other venues to promote the Lasker Foundation's Video Contest.

* I signify that I am the sole author of this video, that all sources of information have been properly acknowledged, and that it has not been published elsewhere.