Create A Profile

Use the form below to create a profile that will be used for submission for any abstract on which you are an author. After creating this profile, you will receive an email with your username and password. Use these credentials to sign in and submit an abstract.

Please add CROIabstracts@iasusa.org and ai-support@communitybrands.com to your email account’s safe senders list so you do not miss important communications about CROI. Please check your spam/junk folders if you do not receive the email in your inbox.

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Contact Information

* Prefix:

* First Name:

Middle Initial:

* Last Name:

Suffix:

Degree Or License:

* Primary Institution:

Department, Division, or School:

Professional Title:

* Address Line 1:

Address Line 2:

* City:

State or Province:

Postal Code:

* Country:

Work Phone:

Mobile Phone:

* Professional Email:

* Confirm Professional Email:

Alternate Email:

Additional Information

The information below is collected for demographic purposes only, and is not used in making decisions about the disposition of abstract or scholarship submissions.

* Sex/Gender:

* Race/Ethnicity:

This form collects name, email address and other contact information so we can contact you about the status of your submission and so our support team can communicate and provide essential assistance. Please check our Privacy Policy to see how we protect and manage submitted data. If you have created this form on behalf of someone else, checking below verifies that you have obtained the individual’s consent to having this contact information collected AND you have verified that all contact information (especially the email address) is correct.

*I consent to having this contact information collected via this form.