AADPRT Virtual Session Request Form

AADPRT VIRTUAL SESSION REQUEST FORM
- Session request must be received at least five (5) weeks in advance of preferred presentation date.
- Submission of this form does not confirm your date. AADPRT staff will reach out within one week to confirm your date.
- Session will be conducted via the AADPRT Zoom account. Login information will be provided to the form submitter upon confirmation of date.
- Zoom functionality available to all presenters includes:
  - Screen share
  - Breakout rooms
  - Polling
  - Chat
- Following your workshop, please send to exec@aadprt.org any materials you'd like uploaded to the VTO.
Virtual Session must meet one of the following requirements:
Workshop audience (check all that apply)
AADPRT Committee Name
Session Title (e.g. NTD Virtual Forum, Mentorship Consultations, Workshop Title, etc.)
Session Description (we'll use this to market the session)
Presenter Name (Suffix = MD, DO, C-TAGME, etc.)

First NameLast Name
Email
example@example.com
Do you have fellow presenters?
Fellow Presenter (Suffix = MD, DO, C-TAGME, etc.)

First NameLast Name
Fellow Presenter (Suffix = MD, DO, C-TAGME, etc.)

First NameLast Name
Fellow Presenter (Suffix = MD, DO, C-TAGME, etc.)

First NameLast Name
Fellow Presenter (Suffix = MD, DO, C-TAGME, etc.)

First NameLast Name
YOU MUST REVIEW THE AADPRT CALENDAR before selecting a date(s) to be sure they're available. Subscribe to the AADPRT shared calendar below or view it on the website for open dates.

Calendar subscription instructions:

Click AADPRT shared calendar.
Open the .ics file that downloads to your computer. This will load the AADPRT calendar to your computer's calendar software (e.g. Outlook).
You can turn this calendar off and on at any time.
Or, view it on the website.
Session Duration
I want to host my session on multiple dates
Date Request

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
2nd Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
1st Presentation Date
Date Request

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
2nd Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
2nd Presentation Date
Date Request

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
2nd Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
3rd Presentation Date
Date Request

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
2nd Alternate Date Request (for this session - not recurrence)

MonthDayYear
Date
Time Request (may not start prior to 9am ET or after 6pm ET)

Hour Minutes

AM/PM Option
Do you have poll questions?
Please type your questions and answer options (multiple choice).
Do you want breakout rooms?
Do you want the session recorded?
Do you want the session recording posted to the VTO (virtual training office)?
Will you have materials (e.g. PowerPoint, handout, etc.) that you will want posted to the VTO (virtual training office) after the presentation?
Upload materials here:

Cancelof
Should be Empty:

AADPRT VIRTUAL SESSION REQUEST FORM

1st Presentation Date

2nd Presentation Date

3rd Presentation Date