Session Presider Form
Name *
Your answer
Email *
Your answer
College Name *
Your answer
Primary Affiliation *
College Information (Address, City, State, Country, Zip) *
Your answer
Phone *
Your answer
Alternate Contact Information (Required only if college information is not primary source of regular contact)
Your answer
Alternate Phone
Your answer
Do you expect to hold either of the following positions during this conference? (Select NA if no.) *
If you are a committee chair, please identify the committee.
Your answer
Format at which you would prefer to preside. *
Please check any day that you could preside (check all that are acceptable) *
Required
Is there a specific topic/person for which you would prefer to preside? *
Your answer
Additional presider comments or information
Your answer
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