Submit Panel Proposal

Session Title *

Lead contact info

First name (given name) *

Last name (surname) *

Degrees/Certifications *

Position at Institution *

Institution *

City *

State *

Postal code *

Country *

Phone *

Email *

Track Assignment (primary and secondary) *

Session Objective & Description (maximum 3500 characters including spaces) *

Proposed Speakers & Moderator(s) *

Budget Note (Please declare each panel individual's ability to fund his/her registration, travel, and lodging.) *

Session Developer Y/N (Are you the session developer if your proposal is selected?) *

If “Session Developer” response is “No”, Explain. If you *are* the Session Developer, enter "N/A".