Exit this survey

ASCLA 2012 Midwinter/Annual Preconference Proposal Form

1.

Please complete this form by July 1. In completing this form, you are proposing an institute for the Midwinter Meeting 6 months from the time of this proposal submission, or a preconference for the Annual Conference 12 -18 months from the time of this proposal submission. Institutes and preconferences are essentially the same thing: half or full day workshops held on the Friday prior to one of our meetings; they’re just called different things. The ASCLA Board will review the proposals 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/4p2ow8t.

Question Title

* 1. Please enter today's date:

Today is:

Date

Question Title

* 2. Please select a conference:

Midwinter Conference 2012

Annual Conference 2012

Question Title

* 3. Name of ASCLA group proposing program:

ICAN

ILEX

LSSPS

SLAS

Other (please specify)

Question Title

* 4. First program chair's information:

Name:

Address:

Daytime Phone:

E-mail:

Fax:

Question Title

* 5. If applicable, second program chair’s information :

Name:

Address:

Daytime Phone:

E-mail:

Fax: