Annual Conference 2017 Session Form
The Session form is submitted ONCE for each session at the conference. 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 conference session information. What you submit is EXACTLY what will be published. Thank you!
Session Title
Your answer
Session Date
MM
/
DD
/
YYYY
Session Start Time
Time
:
Session Description
Describe the session so that attendees can decide whether or not to attend.
Your answer
Session Outcomes and Objectives
This is used for assessing CPE 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
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 #2 First Name
Your answer
Speaker #2 Last Name
Your answer
Speaker #2 Title
Your answer
Speaker #2 Organization
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 #4 First Name
Your answer
Speaker #4 Last Name
Your answer
Speaker #4 Title
Your answer
Speaker #4 Organization
Your answer
Speaker #5 First Name
Your answer
Speaker #5 Last Name
Your answer
Speaker #5 Title
Your answer
Speaker #5 Organization
Your answer
Moderator Information
Moderator First Name
Your answer
Moderator Last Name
Your answer
Moderator Title
Your answer
Moderator Entity/Organization
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Moderator Phone #
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Moderator Email Address
Your answer
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