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2019 Eastern Regional Meeting - Workshop Proposal Form
Human Anatomy and Physiology Society 2019 Eastern Regional Meeting
November 2, 2019
Hosted by Mohawk Valley Community College

Deadline for workshop proposal submission is October 11, 2019

Mohawk Valley Community College
First Presenter
Presenters must be registered for the conference to be accepted. Registration information and workshop guidelines can be found at
Are you currently a member of HAPS? *
Presenter Name *
Your answer
College, University, or other affiliation *
Your answer
Title or Position *
Your answer
Email address *
Your email address will be published in the conference brochure and will be used to communicate with you regarding your submission
Your answer
Confirm email addresss *
Your answer
Mailing address *
Your answer
Telephone *
Your answer
If you have co-presenters please complete this section. If you do not have any co-presenters, please choose "no" in the next question and skip to the Workshop Information section. Please keep in mind that co-presenters must be in attendance at the conference, not simply co-authors.
Do you have any co-presenters? *
If no, then skip to the next section
Is the Co-Presenter a member of HAPS?
Co-Presenter Name
Your answer
Co-Presenter College, University, or other affilitation
Your answer
Co-Presenter Title or Position
Your answer
Co-Presenter Email
Your answer
Confirm Co-Presenter Email
Your answer
If more than one co-presenter, how many co-presenters total?
If just one co-presenter, you may skip to the next section
If more than one co-presenter, please add name, affiliation, position, and email for each additional presenter. Note that all co-presenters must be in attendance at the conference.
Your answer
Workshop information
If you are planning to propose more than one workshop, please submit each workshop proposal using separate proposal forms. All workshops are limited to 45 minutes.
Please characterize the primary focus of your workshop *
This is to assist in proper scheduling of workshops
Title of proposed workshop *
(255 character limit)
Your answer
Abstract of proposed workshop *
(100 word limit) This will be used in conference publications
Your answer
Has this workshop been presented at a previous HAPS meeting? *
All potential conflicts of interest must be disclosed at this time. If you or any of your co-presenters have any conflict of interest, please detail it in the space below. If none exists, please state that. *
COI might include being a consultant, developer, or author for a company that sells in the A&P market. Another example might be that you are working on developing a tool that you plan to sell at a later date.
Your answer
If you the presenter and/or any of your co-presenters are affiliated in any capacity with a for-profit entity and your presentation has a premise that either directly or indirectly promotes the interests of that for-profit entity then your session is considered a vendor-sponsored session. All sponsored sessions require a $110 session sponsorship and are limited to Regional Meeting exhibitors, see for further information. *
Please indicate if you are planning an exhibitor sponsored session. If so please acknowledge that you understand that an additional $110 fee will be assessed for your session.
If you are presenting a sponsored workshop, what is the service or product being presented?
Your answer
Presentation requirements
Audio-Visual equipment needs for presentation *
Is there anything else that you will require?
We'll do our best to accommodate your needs.
Your answer
You must SUBMIT using the relatively small button below for your proposal to be processed.
Thanks for your proposal and for supporting HAPS!
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