Interest Group Proposal

Interest Group Proposal From
Use this form to propose a new interest group.

*All starred fields on this form must be completed.
Submission date:

MonthDayYear
Date
Title of interest group:
Name of person(s) submitting this proposal:
Primary contact

First NameLast Name
Phone number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Additional contact:

First NameLast Name
Phone number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Description of interest group (max of 250 words):
Location(s) where group meetings will be held:
Proposed schedule for the group:
Interest Groups may not meet during the time slots reserved for seminars and workshops.
Should be Empty:

Interest Group Proposal From