Fall 2019 Fall Northeast Educational Session Form Submission


Check the boxes to agree to the following terms: *
Required
Would you allow photos/video to be taken during your session by APCA staff for promotional purposes?
Presenter Name *
Your answer
Presenter Phone (will be used in program/app) *
Your answer
Presenter Email (will be used in program/app) *
Your answer
Website *
Your answer
Presenter Institution/Agency (will be used in program/app) *
Your answer
Presenter Bio (150 words or less. If not, APCA holds the right to edit for the program) *
Your answer
Session Title *
Your answer
Session Description (150 words or less. If not, APCA holds the right to edit for the program) *
Your answer
Learning Outcome: the session participant will... *
Your answer
Target Audience *
Required
I will send my headshot to arlene@apca.com *
Required
Please confirm that you are submitting for the Fall 2019 Northeast Regional Campus Activities Planning Conference. *
Required
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