Due March 31, 2019

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* 1. Program Title

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* 2. Short program description.
30 words or less.

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* 3. Expanded Description
120 words or less.

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* 4. Target Audience

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* 5. What questions will this program answer?

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* 6. What new skills or knowledge will participants gain from this program?

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* 7. Contact Information for Lead Presenter

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* 8. Contact Information, Co-Presenter (optional)

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* 9. Check this box if there are additional presenters. We will contact you to obtain details.

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* 10. Do you have a preference for when you present?

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* 11. Each room will be equipped with a projector, screen and laptop. Do you have any additional requirements?

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* 12. Do you require an honorarium? If so, how much?

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* 13. Do you require travel expenses? If so, what are your requirements?

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