Session Presider Form
* Required
Name
*
Your answer
Email
*
Your answer
College Name
*
Your answer
Primary Affiliation
*
Two-Year College
Four-Year College
Other:
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.)
*
Delegate
Affiliate President
Committee Chair
NA
Other:
If you are a committee chair, please identify the committee.
Your answer
Format at which you would prefer to preside.
*
50-minute session or two mini-sessions
2-hour workshop
No preference
Please check any day that you could preside (check all that are acceptable)
*
Thursday
Friday
Saturday
Sunday
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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