ASCLA 2012 Annual Program Proposal Form

ASCLA Annual Program Proposal Form

Please complete this form by July 1. In completing this form, you are proposing a program for the Annual Conference 12 months from the time of this proposal submission. The ASCLA Board will review the programs and funding requests and make their approval decisions by July 31. A Word version of this form may also be found here: http://tinyurl.com/4j9b4ja.

Question Title

* 1. What is today's date?

Today's date:

Date

Question Title

* 2. Name of ASCLA unit proposing program:

ASCLA

ICAN

LSSPS

SLAS

ILEX

Other (please specify)

Question Title

* 3. First program chair’s information:

Name

Address

Daytime Phone

E-mail

Fax

Question Title

* 4. If applicable, second program chair’s information

Name

Address

Daytime Phone

E-mail

Fax

Question Title

* 5. Proposed program title

*Please note that program titles must be finalized by Sept. 1!

Question Title

* 6. Program Day and Time:

	Day	Time
First Choice	First Choice Day menu	First Choice Time menu
Second Choice	Second Choice Day menu	Second Choice Time menu
Third Choice	Third Choice Day menu	Third Choice Time menu

Question Title

* 1. What is today's date?

Question Title

* 2. Name of ASCLA unit proposing program:

Question Title

* 3. First program chair’s information:

Question Title

* 4. If applicable, second program chair’s information

Question Title

* 5. Proposed program title *Please note that program titles must be finalized by Sept. 1!

Question Title

* 6. Program Day and Time:

* 5. Proposed program title

*Please note that program titles must be finalized by Sept. 1!