IYCN Conference Presence Representative Form
For a chance to be considered as an IYCN conference representative please submit this form within 2 months of the conference you intend to participate in. Decisions will be made within 2 weeks of the form submission.
Email address *
Please provide your name, title, institution, and relationship to IYCN *
Your answer
Please provide the title, dates, and location of the conference you are attending *
Your answer
Briefly describe here how this conference is relevant to IYCN and its goals *
Your answer
What type of IYCN presence is possible at this conference? *
If you are presenting a poster will you be able to print a poster at your institution for free? *
Approximately how many attendees are expected at this conference? *
Your answer
What IYCN materials would you like to distribute? (Select all that apply) *
Required
Please comment here if IYCN can help you with any additional needs or requests (optional)
Your answer
After your conference - A brief write-up, with pictures if possible, is due within a week of your conference participation to the Chair of the Conference Presence and Social Media Committees. Lack of compliance with this rules will result in suspension from the IYCN conference presence delegate list. *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy