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* 1. Please indicate the type of proposal you are submitting: 

Please note that the American Delirium Society is committed to supporting a climate of inclusiveness and diversityin its mission to improvethe recognition, treatment, and prevention of delirium. As such, meeting proposals are encouraged to give consideration to inviting presenters that are consistent with this mission.  

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* 2. Please enter the full title of your proposal (using mixed-case letters) as it is intended to be printed in the final program

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* 3. Session Chair Information

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* 4. Faculty Member #2 Information

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* 5. Faculty Member #3 Information (if required)

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* 6. Faculty Member #4 Information (if required)

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* 7. Proposal Learning Objectives

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* 8. Please state the relevance of this proposal to ADS 2020 Annual Meeting attendees (30 words max)

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* 9. Please provide a brief description of the symposia/workshop/roundtable including the role of each faculty member and the focus of their involvement (e.g. topic they will cover). 

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* 10. If this symposium/workshop/roundtable is accepted for a presentation at the 2020 Indy ADS Annual Meeting I will provide ADS with a copy of all presentations in accordance with requirements for CE accreditation.  Please type your name below if in agreement with this statement 

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* 11. By stating Yes I confirm that my responses will be submitted and I will not be able to access them again

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