CALL FOR PRESENTERS
APPLICATION FORM
Sign in to Google to save your progress. Learn more
SESSION PRESENTER FULL CONTACT INFORMATION:
Presenter's Name and Credential, if applicable      [CMP, Dr., Ph.D, etc.) *
Presenter's Full Mailing Address [City, State, Zip] *
Presenter's Telephone *
Presenter's Email Address *
SESSION NAME *
SESSION DESCRIPTION *
LEARNING OBJECTIVES: What is the session trying to accomplish? *
SESSION TAKE-AWAY: What new skill[s] or knowledge will the attendees be leaving the session with: *
TARGET ATTENDEE: What is the profile of the attendee that will most benefit from the session.
Clear selection
HAS YOUR SESSION BEEN PREVIOUSLY APPROVED FOR CEU [CLOCK HOURS] BY THE CONVENTION INDUSTRY COUNCIL [CIC] ?
Clear selection
Thank you for your submission.
Applications will be accepted and initially reviewed by:

Michele Yebba Johnice Veals
Sr. Meeting Planner Meetings and Events Senior Manager
TJX Companies        Vertex Pharmaceuticals  
VP of Educational Institute        Director of Educational Institute

 *Please note that submitting a session idea or speaker does not mean that session will be selected for the Educational Institute. The Educational Institute Committee will review submissions and within three weeks of the submission deadline speakers will be contacted. If two session proposals are similar, presenters may be contacted to determine if they will be willing to collaborate on the session. An important note regarding funds: acceptance of your proposal does not obligate MPI New England beyond assuring you of a meeting space, audio/visual support, and inclusion in the printed program. Reimbursement for expenses is limited. A small honorarium may be available for select speakers traveling from outside of the New England area.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MPI New England.

Does this form look suspicious? Report

Google Forms