Education 2017 Session Form
The Education session form is submitted ONCE for each education session and is the only form submitted. Please open this form prepared to submit all of the information requested, most questions REQUIRE an answer. This is the only method by which to submit education session information. What you submit is EXACTLY what will be published. Thank you!
Education Session Information
Session Title
Your answer
Session Time of Year
Please list any specific dates on which the speaker would like to have the class (if applicable).
Your answer
Length of session
Session length is based on CPE credits and should stick with the lengths listed.
Please indicate if there is a preference for AM or PM (if applicable).
Preferred Locations
Please list any specific locations (with a contact name, phone and email) you or the speaker thinks would be a good host site for this class.
Your answer
Session Description
Describe the session well enough so that attendees can decide whether or not to attend.
Your answer
Session Outcomes and Objectives
This is used for assessing CPE, CMC and MMC credits.
Your answer
Major topics covered
The list of topics covered will also be used to determine CPE, CMC and MMC credits.
Your answer
Session Level
Additional AV / Engineering Needs
The room will have an LCD projector, screen (or white wall) and front table or podium. Please indicate all additional items you will need, i.e. easel, pad, Mac adaptor, internet access, etc.
Your answer
Speaker Information
Number of Speakers
Speaker #1 First Name
Your answer
Speaker #1 Last Name
Your answer
Speaker #1 Title
Your answer
Speaker #1 Organization
Your answer
Speaker #1 Biography - Narrative
Your answer
Speaker #2 First Name
Your answer
Speaker #2 Last Name
Your answer
Speaker #2 Title
Your answer
Speaker #2 Organization
Your answer
Speaker #2 Biography - Narrative
Your answer
Speaker #3 First Name
Your answer
Speaker #3 Last Name
Your answer
Speaker #3 Title
Your answer
Speaker #3 Organization
Your answer
Speaker #3 Biography - Narrative
Your answer
Moderator Information
Moderator First Name
Your answer
Moderator Last Name
Your answer
Moderator Title
Your answer
Moderator Entity/Organization
Your answer
Moderator Phone #
Your answer
Moderator Email Address
Your answer
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