Symposia Submission Form

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* Symposium Title

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* Chair:

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* Second Chair (if applicable):

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* I/we verify that all speakers have confirmed their willingness to participate in the symposium, if selected.

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* Please provide a paragraph synopsis of the symposium theme (2,000 character maximum):

Please list your symposia speakers in order of presentation. 

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* First Speaker:

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* Second Speaker:

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* Third Speaker:

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* Fourth Speaker:

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* Please list any suggestions for potential external sponsors including corporations, government agencies, or non-profit organizations:

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* Have you contacted the potential sponsors you have listed?

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