Registration form example

Type *

This is a proposal for a:

Concurrent session (approximately 75-90 minutes, no breaks)
Facilitated Round Table Discussion (approximately 30-45 minutes during lunch)
Keynote (approximately 60-90 minutes, no breaks)
Plenary (approximately 60-90 minutes, no breaks)
Pre-conference Workshop
Deep Dive Session
Networking Activity / Exploring the Local Scene (approximately 3-5 hours during designated “networking or free time” window)
Other / idea (please include details on recommended time frame)

Title *

Session Topic/Title.

Summary

One-liner summary (25-30 words).

Description

Brief Description (150-200 words).

Outcomes

What attendees can expect to gain from this session (3-5 bullet points, total 100-250 words).

Format *

Audience Level *

Professional Experience of Audience attending conference session (mark all that apply).

Audience Department *

Type of Relevant Programming (mark all that apply).

Category *

Primary content/subject of session (mark at least one but no more than three).

Registered presenters

New presenters

	Name *	Professional title *	Organization, School, and/or University *	Phone	Email	Website
1

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