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* 1. Your Name

Tell us your name. You may be asked to act as the host for this session and provide an introduction for your speakers.

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* 2. Your E-mail Address

We will use this e-mail address to contact you about your program proposal.

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* 3. Your Phone Number:

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* 4. Session Title

What is the title of this proposed session? If you don't have one finalized, please include a working title.

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* 5. Session Description

What is this session going to cover? Please be sure to focus on the practical information that it will cover, including learning outcomes. If you are involved with a panel presentation, please coordinate information with panelists.

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* 6. Pillar

Please indicate which competencies "pillar" best represents the proposed session.

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* 7. How long will your session last?

Most programs will be either 60 or 90 minutes. If your program can be adapted to fit in either time slot, please mark that. We also plan to have at least one "lightning" session consisting of short (maximum seven minute) talks.

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* 8. Speaker 1 Name

Tell us about your speaker. We will use information like title, affiliation, and contact information if your program is selected, to confirm their participation and provide logistical details close to the annual meeting. You will remain the primary contact for this program. If you have more than one speaker, you can add that person further down on the form.

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* 9. Title and Affiliation

What is your speaker's title, if she or he has one and where do they work?

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* 10. Short Bio:

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* 11. Email Address:

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* 12. Role In Session

Explain the content they will cover, their relevant expertise or experience, etc

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* 13. Speaker 2 Name

Tell us about your speaker. We will use this information like title, affiliation, and contact information if your program is selected, to confirm their participation and provide logistical details closer to the annual meeting. You will remain the primary contact for this program.

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* 14. Title and Affiliation

What is your speaker's title, if she or he has one, and where do they work?

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* 15. Short Bio:

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* 16. Speaker 2 Email Address:

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* 17. Role in Session

Explain the content they will cover, their relevant expertise or experience, etc

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* 18. What other information would you like to share about your proposal? Let us know anything else you couldn't put elsewhere on this form. If you have a 3rd speaker, include that information here.

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* 19. Logistics

This information will help us to determine the cost of our programming for 2015.

Are you and your speakers CALL members? Please check all that apply.

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* 20. Estimated Travel Cost

Please indicate what travel and lodging costs you anticipate will be required to bring your speaker(s) to Moncton. CALL/ACBD does not pay for its members' travel and lodging. It will be reimbursed for non-members for economy air travel, one night hotel lodging, and provides complimentary registration.

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* 21. Availability

If accepted, your program could be assigned to any of the three days of the conference (Monday May 4th morning and afternoon, Tuesday May 5th morning and afternoon, and May 6th morning). Are there particular days or parts of days that your speaker(s) cannot participate?

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* 22. Other Information

What other information would you like to share about your proposal? Let us know anything else you couldn't put elsewhere on this form. If you have a 3rd speaker, include that information here.

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* 23. If Applicable, Which CALL/ACBD Special Interest Group or Committee will host this session?

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