JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NASPR 2021 Panel Submission Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Panel Moderator Name (first, middle initial, last)
*
Your answer
Panel Moderator Affiliation
*
Your answer
Panel Moderator Mailing Address
*
Your answer
Panel Moderator Phone Number
*
Your answer
Panel Moderator Email Address
*
Your answer
Is the panel moderator a student?
*
Yes
No
Panel Co-Moderator (if applicable) Name (first, middle initial, last)
Your answer
Panel Co-Moderator (if applicable) Affiliation
Your answer
Panel Co-Moderator (if applicable) Mailing Address
Your answer
Panel Co-Moderator (if applicable) Phone Number
Your answer
Panel Co-Moderator (if applicable) Email Address
Your answer
Is the panel co-moderator (if applicable) a student?
Yes
No
Clear selection
Panel Discussant 1 (if applicable) Name (first, middle initial, last)
Your answer
Panel Discussant 1 (if applicable) Affiliation
Your answer
Panel Discussant 1 (if applicable) Email Address
Your answer
Is panel discussant 1 (if applicable) a student?
Yes
No
Clear selection
Panel Discussant 2 (if applicable) Name (first, middle initial, last)
Your answer
Panel Discussant 2 (if applicable) Affiliation
Your answer
Panel Discussant 2 (if applicable) Email Address
Your answer
Is panel discussant 2 (if applicable) a student?
Yes
No
Clear selection
Panel Title
*
Your answer
Panel Abstract (Max. length 300 words)
*
Your answer
Panel Keywords (list up to 5, separated by a comma)
*
Your answer
Paper in Panel 1 - First Author Name (first, middle initial, last)
*
Your answer
Paper in Panel 1 - First Author Affiliation
*
Your answer
Paper in Panel 1 - First Author Email Address
*
Your answer
Paper in Panel 1 - Is the first author a student?
*
Yes
No
Paper in Panel 1 - Co-Author Names (first, middle initial, last)
Your answer
Paper in Panel 1 - Title
*
Your answer
Paper in Panel 1 - Abstract (Max. length 300 words)
*
Your answer
Paper in Panel 2 - First Author Name (first, middle initial, last)
*
Your answer
Paper in Panel 2 - First Author Affiliation
*
Your answer
Paper in Panel 2 - First Author Email Address
*
Your answer
Paper in Panel 2 - Is the first author a student?
*
Yes
No
Paper in Panel 2 - Co-Author Names (first, middle initial, last)
Your answer
Paper in Panel 2 - Title
*
Your answer
Paper in Panel 2 - Abstract (Max. length 300 words)
*
Your answer
Paper in Panel 3 - First Author Name (first, middle initial, last)
*
Your answer
Paper in Panel 3 - First Author Affiliation
*
Your answer
Paper in Panel 3 - First Author Email Address
*
Your answer
Paper in Panel 3 - Is the first author a student?
*
Yes
No
Paper in Panel 3 - Co-Author Names (first, middle initial, last)
Your answer
Paper in Panel 3 - Title
*
Your answer
Paper in Panel 3 - Abstract (Max. length 300 words)
*
Your answer
Paper in Panel 4 (if applicable) - First Author Name (first, middle initial, last)
Your answer
Paper in Panel 4 (if applicable) - First Author Affiliation
Your answer
Paper in Panel 4 (if applicable) - First Author Email Address
Your answer
Paper in Panel 4 (if applicable) - Is the first author a student?
Yes
No
Clear selection
Paper in Panel 4 (if applicable) - Co-Author Names (first, middle initial, last)
Your answer
Paper in Panel 4 (if applicable) - Title
Your answer
Paper in Panel 4 (if applicable) - Abstract (Max. length 300 words)
Your answer
Learning Objective 1
Your answer
Learning Objective 2
Your answer
Do you have a recent CV available online?
Yes, on ResearchGate
Yes, on my personal website
No, please contact me for a copy
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report