SVIN Endorsement Application Survey

SVIN requests that the chair of the scientific program, or the administrative contact, complete this form. Upon approval, SVIN will endorse the program, which entails:

Announcement posted on the SVIN endorsed meetings page of the website until the end of the meeting
Use of statement “Endorsed By SVIN” with SVIN logo for inclusion in meeting flyers, printed material and promotional messaging
Use of statement “Endorsed By SVIN” with SVIN logo on the meeting website home page with a live link to the SVIN website until the end of the meeting

1.Official name of the event, activity or educational program(Required.)

2.Name of organization/institution planning the event(Required.)

3.Is this a non-profit organization?(Required.)

Yes

Other (please specify)

4.Date(s) of the event or program(Required.)

5.Website URL of event or program. If none exists, enter N/A.(Required.)

6.Format of event or program(Required.)

In-Person Only

Hybrid (in-person and virtual)

Virtual Only

7.Estimated Number of Attendees(Required.)

Estimated in-person attendance

Estimated virtual/remote (if applicable)

8.Name and institution of Program Chairperson, Chief Organizer, or person otherwise responsible for content planning(Required.)

Name

Institution

City/Town

State/Province

Country

Email Address

Phone Number

9.Name and institution of administrative contact for this request (if different than above):

Name

Institution

City/Town

State/Province

Country

Email Address

Phone Number

10.Is this a new program or has this been held previously? Please explain.(Required.)

11.Please address how this program supports SVIN’s mission(Required.)

12.Will the endorsed program be supported by educational grants from commercial supporters?(Required.)

Yes

Unsure

13.Please list any known SVIN members who are scheduled to present and share any additional information you feel is relevant.