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2016 Adoption Initiative Conference Proposal Submission Form
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* Indicates required question
CONTACT INFORMATION: Presenters
Primary Presenter NAME
*
(NOTE: This is exactly how it will appear in the program)
Your answer
Primary Presenter DEGREE(S)
*
(NOTE: This is exactly how it will appear in the program. If you do not wish to report your degree(s) or have it appear in the program, enter N/A.)
Your answer
Primary Presenter INSTITUTIONAL AFFILIATION(S)
*
(NOTE: This is exactly how it will appear in the program)
Your answer
Primary Presenter MAILING ADDRESS
*
Your answer
Primary Presenter EMAIL ADDRESS
*
Your answer
Primary Presenter PHONE NUMBER(S)
*
Your answer
Primary Presenter BIOGRAPHY
*
Please insert a brief biography (1 paragraph). (NOTE: This is exactly how it will appear in the program)
Your answer
Upload CV/Resume & Photo
After submitting the proposal, you will be directed to a link to upload the Digital Photo(s) & CV/Resume(s) for you and your co-presenters at
http://form.jotform.us/form/32988576287173
.
Additional Presenter(s)
*
Do you have any additional presenters?
Yes
No
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