Workshops

Step 1

Submitter Information

First Name: Middle Name:
Last Name: Email: Phone:

Affiliation(s):


Step 2

Workshop Information

Workshop Type:

Select only one.

Professional
Research
Teaching
Departmental

Working Title: (Copy and paste. No HTML code.)
Max Length 1000 characters including spaces):

Brief Description of the Substantive Focus, Goals, and Intended Audience for the Workshop: (Copy and paste. No HTML code.)
(Max length 1000 characters including spaces):

Rationale for Inclusion of the Topic on the Program: (Copy and paste. No HTML code.)
(Max length 1000 characters including spaces):


Step 3

Workshop Organizer/Leader Information

Workshop Organizer/Leader First Name:
Workshop Organizer/Leader Middle Name:
Workshop Organizer/Leader Last Name:
Workshop Organizer/Leader Email: Workshop Organizer/Leader Phone:

Workshop Organizer/Leader Affiliation(s):

Workshop Organizer/Leader Address:

Workshop Organizer/Leader Street 1: Workshop Organizer/Leader Street 2:
Workshop Organizer/Leader City:
Workshop Organizer/Leader State/Province: Workshop Organizer/Leader Postal Code:
Workshop Organizer/Leader Country:


Step 4

Potential Co-Leaders

Potential Co-Leader 1

Potential Co-Leader 1 First Name: Potential Co-Leader 1 Middle Name:
Potential Critic 1 Last Name:
Potential Co-Leader 1 Email: Potential Co-Leader 1 Phone:

Potential Co-Leader 1 Affiliation(s):

Potential Co-Leader 1 Address:

Potential Co-Leader 1 Street 1: Potential Co-Leader 1 Street 2:
Potential Co-Leader 1 City:
Potential Co-Leader 1 State/Province: Potential Co-Leader 1 Postal Code:
Potential Critic 1 Country:

Potential Co-Leader 2

Potential Co-Leader 2 First Name: Potential Co-Leader 2 Middle Name:
Potential Co-Leader 2 Last Name:
Potential Co-Leader 2 Email: Potential Co-Leader 2 Phone:

Potential Co-Leader 2 Affiliation(s):

Potential Co-Leader 2 Address:

Potential Co-Leader 2 Street 1: Potential Co-Leader 2 Street 2:
Potential Co-Leader 2 City:
Potential Co-Leader 2 State/Province: Potential Co-Leader 2 Postal Code:
Potential Co-Leader 2 Country:

Potential Co-Leader 3

Potential Co-Leader 3 First Name: Potential Co-Leader 3 Middle Name:
Potential Co-Leader 3 Last Name:
Potential Co-Leader 3 Email: Potential Co-Leader 3 Phone:

Potential Co-Leader 3 Affiliation(s):

Potential Co-Leader 3 Address:

Potential Co-Leader 3 Street 1: Potential Co-Leader 3 Street 2:
Potential Co-Leader 3 City:
Potential Co-Leader 3 State/Province: Potential Co-Leader 3 Postal Code:
Potential Co-Leader 3 Country:

Potential Co-Leader 4

Potential Co-Leader 4 First Name: Potential Co-Leader 4 Middle Name:
Potential Co-Leader 4 Last Name:
Potential Co-Leader 4 Email: Potential Co-Leader 4 Phone:

Potential Co-Leader 4 Affiliation(s):

Potential Co-Leader 4 Address:

Potential Co-Leader 4 Street 1: Potential Co-Leader 4 Street 2:
Potential Co-Leader 4 City:
Potential Co-Leader 4 State/Province: Potential Co-Leader 4 Postal Code:
Potential Co-Leader 4 Country:

Potential Co-Leader 5

Potential Co-Leader 5 First Name: Potential Co-Leader 5 Middle Name:
Potential Co-Leader 5 Last Name:
Potential Co-Leader 5 Email: Potential Co-Leader 5 Phone:

Potential Co-Leader 5 Affiliation(s):

Potential Co-Leader 5 Address:

Potential Co-Leader 5 Street 1: Potential Co-Leader 5 Street 2:
Potential Co-Leader 5 City:
Potential Co-Leader 5 State/Province: Potential Co-Leader 5 Postal Code:
Potential Co-Leader 5 Country:

Potential Co-Leader 6

Potential Co-Leader 6 First Name: Potential Co-Leader 6 Middle Name:
Potential Co-Leader 6 Last Name:
Potential Co-Leader 6 Email: Potential Co-Leader 6 Phone:

Potential Co-Leader 6 Affiliation(s):

Potential Co-Leader 6 Address:

Potential Co-Leader 6 Street 1: Potential Co-Leader 6 Street 2:
Potential Critic 6 City:
Potential Co-Leader 6 State/Province: Potential Co-Leader 6 Postal Code:
Potential Co-Leader 6 Country:

Potential Co-Leader 7

Potential Co-Leader 7 First Name: Potential Co-Leader 7 Middle Name:
Potential Co-Leader 7 Last Name:
Potential Co-Leader 7 Email: Potential Co-Leader 7 Phone:

Potential Co-Leader 7 Affiliation(s):

Potential Co-Leader 7 Address:

Potential Co-Leader 7 Street 1: Potential Co-Leader 7 Street 2:
Potential Co-Leader 7 City:
Potential Co-Leader 7 State/Province: Potential Co-Leader 7 Postal Code:
Potential Co-Leader 7 Country:

Potential Co-Leader 8

Potential Co-Leader 8 First Name: Potential Co-Leader 8 Middle Name:
Potential Co-Leader 8 Last Name:
Potential Co-Leader 8 Email: Potential Co-Leader 8 Phone:

Potential Co-Leader 8 Affiliation(s):

Potential Co-Leader 8 Address:

Potential Co-Leader 8 Street 1: Potential Co-Leader 8 Street 2:
Potential Co-Leader 8 City:
Potential Co-Leader 8 State/Province: Potential Co-Leader 8 Postal Code:
Potential Co-Leader 8 Country:

Potential Co-Leader 9

Potential Co-Leader 9 First Name: Potential Co-Leader 9 Middle Name:
Potential Co-Leader 9 Last Name:
Potential Co-Leader 9 Email: Potential Co-Leader 9 Phone:

Potential Co-Leader 9 Affiliation(s):

Potential Co-Leader 9 Address:

Potential Co-Leader 9 Street 1: Potential Co-Leader 9 Street 2:
Potential Co-Leader 9 City:
Potential Co-Leader 9 State/Province: Potential Co-Leader 9 Postal Code:
Potential Co-Leader 9 Country:

Potential Co-Leader 10

Potential Co-Leader 10 First Name: Potential Co-Leader 10 Middle Name:
Potential Co-Leader 10 Last Name:
Potential Co-Leader 10 Email: Potential Co-Leader 10 Phone:

Potential Co-Leader 10 Affiliation(s):

Potential Co-Leader 10 Address:

Potential Co-Leader 10 Street 1: Potential Co-Leader 10 Street 2:
Potential Co-Leader 10 City:
Potential Co-Leader 10 State/Province: Potential Co-Leader 10 Postal Code:
Potential Co-Leader 10 Country:



Note: A confirmation will be sent to the submitter email address.