JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Fall 2019 Fall Northeast Educational Session Form Submission
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Check the boxes to agree to the following terms:
*
Educational sessions are 45 minutes in length. You must start and end on time.
Educational sessions are to be educational in content. Promotion of services or products is prohibited during your session.
Priority is given to those that complete the session proposal submission on or before the submission deadline.
Notifications will be sent on or before the submission deadline (9/20/19).
You must be able to present anytime during this event.
Rooms are set up in classroom style. If room is rearranged, it must be returned to original layout for the next presenter.
All rooms will have flip charts, markers, and projector/screen.
Computers, adaptors, and handouts are your responsibility.
Transportation to/from conference, delegate fees, and lodging at the conference are the responsibility of the presenter.
Required
Would you allow photos/video to be taken during your session by APCA staff for promotional purposes?
Allow
Do not allow
Presenter Name
*
Your answer
Presenter Phone (will be used in program/app)
*
Your answer
Presenter Email (will be used in program/app)
*
Your answer
Website
*
Your answer
Presenter Institution/Agency (will be used in program/app)
*
Your answer
Presenter Bio (150 words or less. If not, APCA holds the right to edit for the program)
*
Your answer
Session Title
*
Your answer
Session Description (150 words or less. If not, APCA holds the right to edit for the program)
*
Your answer
Learning Outcome: the session participant will...
*
Your answer
Target Audience
*
I would like to present this session to STUDENTS
I would like to present this session to ADVISORS
Required
I will send my headshot to
arlene@apca.com
*
Confirm
Required
Please confirm that you are submitting for the Fall 2019 Northeast Regional Campus Activities Planning Conference.
*
Confirm
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Association for the Promotion of Campus Activities.
Report Abuse
Forms
