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Center for Professional Development and Inclusive Excellence <->(C-Hub)
Application Form for Session Proposal for ICS 2024
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First name (primary contact):
Last name (primary contact):
She, her, hers
He, him, his
They, them, theirs
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: Other...
Professional development session
Birds-of-a-Feather/Shared Interests Session
Designation of intended audience:
Designation of intended audience: Other...
Audiovisual and infrastructure requests:
Stationery (please specify in the "Other" box)
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.
Leave this field blank