ICA 2017 Interest Session Proposal Form
Proposal Deadline: October 1, 2016

Notification of acceptance will be sent out by October 15, 2016.
*Please note: Incomplete proposals will not be accepted.*

A professional headshot quality photograph (passport photo requirements) must be sent to icapresentations@gmail.com to complete submission.

*NOTE: Submission of this proposal constitutes acceptance of all conditions and terms listed below, INCLUDING A REQUIREMENT OF CONFERENCE REGISTRATION. Deadline for presenter registration is December 31, 2016, after which, the proposal will be dropped.

**Please, no more than 4 presenters per interest session.**
Primary Presenter First Name *
Primary Presenter Last Name *
Primary Presenter Credentials *
Primary Presenter Degree Field
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Primary Presenter Address *
Primary Presenter City *
Primary Presenter State *
Primary Presenter Zip Code *
Primary Presenter Phone *
Primary Presenter Email *
Primary Presenter Brief Biography *
Please limit your response to under 200 words. Note that what you include will be utilized for advertising purposes as well as included (in whole or in part) in the conference program.
Do you have any additional presenters?
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