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Center for Professional Development and Inclusive Excellence <->(C-Hub)
Application Form for Session Proposal for ICS 2024
DEADLINE:
[
December 8th,
23
:59,
JST
]
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First name (primary contact):
*
Last name (primary contact):
*
Preferred pronouns:
She, her, hers
He, him, his
They, them, theirs
E-mail address:
*
Please list all presenters` names (all names must be submitted with this form. Please note that we cannot add names after the form is submitted):
Affiliated Institution:
*
OIST
Other...
Affiliated Institution: Other...
Session type:
*
Panel discussion
Professional development session
Birds-of-a-Feather/Shared Interests Session
Session title:
*
Session abstract:
*
Designation of intended audience:
*
General
Other...
Designation of intended audience: Other...
Session description:
*
Audiovisual and infrastructure requests:
*
Flipchart
Projector
Stationery (please specify in the "Other" box)
Whiteboards
Other...
Audiovisual and infrastructure requests: Other...
Please read and agree to
the symposium code of conduct
.
I agree to abide by the symposium code of conduct.
*
Yes
Leave this field blank
