Professional Research International Conference Workshop Proposal Form
This form is for the Professional Research International Conference in EU July 25-27, 2019. Regional Director contact - Ingibjorg Jonasdottir; dkg.rd.europe@gmail.com ALL FORMS ARE DUE BY 11:59 PM CST ON JANUARY 15, 2019
Email address *
Last name of presenter *
Your answer
First name of presenter *
Your answer
Do you represent an international committee? *
If you represent an international committee, please describe which one or write N/A. *
Your answer
Telephone (home)
Your answer
Telephone (cell) *
Your answer
Email address for contact purposes *
Your answer
State Organization (Geographic) *
Your answer
Chapter *
Your answer
Additional Presenters' Names (If none, put N/A) *
Your answer
Title of Workshop (please limit to 10 words) *
Your answer
Specific description of Workshop (limit to 50 words). Presenter will be required to bring her own laptop if one is required. *
Your answer
Please mark that understand that you will be attending the conference on Friday, July 26, 2019. *
Required
By submitting this form, you are agreeing to attend the conference should your proposal be accepted. You also understand that you are expected to pay the conference registration fee as well as travel expenses and lodging. Additionally, you understand that DKG cannot reimburse presenters or state organizations for any expenses incurred for this workshop session. *
Required
Please note that you should slide the button on the bottom of the survey to receive a copy of your responses from this form. *
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