WoW Northern Drive-In 2019 Program Submission Form
We are so pleased that you are interested in presenting at the 2019 Women of WACUHO Northern Drive-In Conference! This year, the theme is "DARE.AIM.LEAD." With that in mind, we ask that you consider the following themes when developing your presentation:

* Professional Risk Taking
* Finding Courage in the Workplace
* What Motivates You - Self Empowerment
* Hope, Faith, & Perseverance
* Managing Institutional Politics
* Envisioning Your Success and Setting a Path
* What Steps to take to get to the Next Level
* Leadership in Changing Environments

Submissions are due by 11:59pm on Sunday, January 6, 2019. Notifications for accepted proposals will be sent out the January 15th & 16th.

Thank you for your submission. We look forward to seeing you on February 2nd!

Email address *
Primary Presenter First Name / Preferred Name *
Your answer
Primary Presenter Last Name *
Your answer
Position Title *
Your answer
Institution *
Your answer
Email Address *
Your answer
Contact Number *
Your answer
Are there additional presenters? *
Additional Presenters
Please list any additional presenters and their email addresses. Separate each presenter with a comma.
Your answer
Program Style *
Program Focus *
Program Title *
Your answer
Program Abstract (80 words or Less) *
If your program is selected, this is what will be published in the WoW schedule.
Your answer
Program Description *
Please provide a description of your program; this will be reviewed by the Programs Committee to determine which programs are selected.
Your answer
Conference Theme Relevance *
Please describe how you will incorporate the conference theme into your program.
Your answer
Audio / Visual Needs *
All session rooms have projector, adapter, and screen.
Your answer
Do you require any accommodations? *
Your answer
Please provide any additional information here *
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