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Seminar Submission Form

Thank you for taking the time to submit a seminar proposal for the 2010 Midyear Conference or Annual Convention & Exposition. Please fill in the information below and press the submit button.

Submitter Information

NAME
CONTACT PHONE
CONTACT EMAIL
BIOGRAPHY (100 Words Maximum)
PRIOR SPEAKING ENGAGEMENTS (Please provide two references with email addresses.)

Seminar Submission

For which event do you wish to submit a seminar for:
SEMINAR TITLE (10 Words Maximum)
SEMINAR DESCRIPTION (200 Words Maximum)
INTENDED AUDIENCE
LEARNING OUTCOMES (Minimum of 2 Bulleted Outcomes)
SEMINAR FORMAT
If you cannot participate, please feel free to suggest speakers and topics in the text box below. Please include email addresses.
SPEAKER/TOPIC RECOMMENDATIONS

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