RFP for 2010 FFL Conference
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2010 Fellows for Life Conference RFP - Deadline Extended to April 15!

 
Thank you for your interest in submitting a proposal to facilitate a break-out session at the 2010 Fellows for Life Conference in Baltimore, Maryland. Sessions have been extended to 90 minutes to allow more in depth discussion among participants.

You will not be able to save your work and come back to it, so please prepare your work first, and then cut and paste into this form.

The submission deadline has been extended to April 15, 2010. If you have any questions during this process, please contact Meghan Johnson, National Program Director, E: mjohnso9@bidmc.harvard.edu, T: 617-667-3115

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1. Primary Presenter

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2. Primary Affiliation and/or Title

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3. Primary Discipline

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4. City

5. If in U.S.

6. Country (if not in U.S.)

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7. E-mail Address

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8. Phone Number

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9. Program Location Where You Were a Fellow (Fellows who served as U.S. and Lambarene Fellows should indicate both programs)

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10. Fellowship Year (Fellows who served as U.S. and Lambarene Fellows should indicate both years)

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11. Primary Presenter Bio: (100 words maximum)

12. Co-Presenter(s) Name, Primary Affiliation and/or Title, Fellowship Program and Year (If applicable)

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13. Presentation Format (for more information please see explanation on the ASF website)

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14. Submission Category

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15. Title of Session (as it will appear in conference materials)

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16. Session Abstract (as it will appear in conference materials if selected, 75 words maximum)

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17. Session Proposal (500 words maximum; for skills-based sessions please include learning objectives)

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18. Expected level of interaction and/or discussion among participants:

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19. Please select your A/V needs for this presentation.

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20. Have you given this presenation before?

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21. Presenter's Experience Level in Relationship to Topic

22. Additional Comments: