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* 1. Name of Primary Presenter

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* 2. Employer/University Affiliation

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* 3. Email Address

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* 4. Mailing Address

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* 5. Co-Presenter's Names & Email Addresses (If Any)

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* 6. Title of Proposed Program

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* 7. Presentation Abstract: Please write a brief summary of your presentation for the conference program in 50 words or less.

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* 8. Synopsis of Program: Please provide a 500 word (maximum) synopsis of the content of your program. Be as clear and concise as possible, with the goal of providing participants with a brief overview of goals, objectives, content, and presentation format of your program. Please also include the key themes of your program.

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* 9. Preferred Session Format

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* 10. Format Flexibility: Would you be willing to present in an alternative format if space does not allow for acceptance in your proposed format?

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