Breakout Proposal Form 2018 International Convention
Application to Present Breakout
2018 International Convention
JW Marriott Hotel, Austin, Texas

Breakouts will be Tuesday, July 17; Wednesday, July 18, and Thursday, July 19.

SUBMISSION DEADLINE: JANUARY 15, 2018

Email address *
Name of Presenter(s) *
Your answer
Geographic name of state organization and Chapter *
Your answer
Do you represent an international committee? If yes, which one? *
Your answer
Title of Breakout *
Your answer
Description of breakout for the convention program (approximately 50 words) *
Your answer
Recommend a strand most appropriate for the proposed breakout *
Required
Recommended Audience. Choose all that apply *
Required
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