JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
JMIH 2023 Workshop request form
Please use this form to request a workshop at the upcoming meeting in Norfolk. Workshop requests are due February 24, 2023. Workshop acceptances will be sent out by March 2023.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name
*
Your answer
Your email address
*
Your answer
Your affiliation with JMIH (i.e. member, committee chair, etc)
*
Your answer
Your phone number (mobile preferred, if you're willing to share)
*
Your answer
Please provide the name and e-mail for any co-organizers
Your answer
Anticipated title/theme of workshop
*
Your answer
Brief description of the workshop (if accepted, this text will be used in the program, and can be edited if needed)
*
Your answer
Intended audience that you're hoping to reach (e.g., students, early career faculty, non-specified)
*
Your answer
Approximate number of attendees (provide an estimated range, X-Y)
*
Your answer
Workshops will be held on Day 0 of the meeting.
Preferred time(s) for the workshop - half-day (e.g., 8:00AM–12:00PM or 1:00-5:00PM) or full-day (e.g., 8:00AM-5:00PM)
*
Your answer
How do you intend to cover potential costs? Depending on your needs, costs may include room rental, table/chair setup, AV equipment, and food.
*
Your answer
Logistics: Will you be providing food and drink? (menus will be provided upon workshop acceptance; catering at the venue is usually much more expensive than expected).
*
Yes
No
I'm not sure (might depend on funding).
Logistics: Please indicate your needs for table and chair setup (see samples below).
*
Your answer
Additional comments
Your answer
Will you need AV equipment and/or computers?
*
Yes
No
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Burk & Associates Inc.
Does this form look suspicious?
Report
Forms