Raw Score for this Application: out of - %

Q1. Please enter the following for the Event/Workshop Leader: First Name, Last Name
Client:

Division:

Q2. Email Address of Workshop Leader
Email:

Q3. Name of Event:


Q4. Description of Event (This will appear in the Schedule if selected):


Q5. List authors who will participate in this event:


Q6. What is the maximum capacity this event can hold? Guestimate:


Q7. Will you need audio/video assistance for the event: micrphone, speakers, etc.?





Q8. We would like an event to have refreshments. The event as you have proposed it will it have refreshments?





Q9. Are you looking for others authors to partner with to help you with this event?





Q10. Do Not Edit this field: Selected #


Q11. Do Not Edit this field: Start Time of Event:


Q12. Do Not Edit this field: End Time of Event


Q13. Do Not Edit this field: Day of Event


Q14. Do Not Edit: Room/Venue Number


Q15. Additional Comments: