DFPA Pre-/Post-Show Discussion Information Form

DFPA Pre-/Post-Show Discussion Information Form
Show Title
Date of Pre-/Post-Show Discussion

MonthDayYear
Moderator(s)
First and Last Name(s)
Panelist(s)
First and Last Name(s)
Location of Discussion
Organizing Faculty Member
If another faculty member is organizing, please enter their name below.
First and Last Name
Supervising Faculty Member
If another faculty member is supervising, please enter their name below.
First and Last Name
Type of Discussion:
Is this Discussion open to the public?
Organization/Group Name
Contact Person's Name

First NameLast Name
Contact Person's Email
example@luc.edu
Contact Person's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How long are you anticipating this discussion will go for?
How many chairs will you need?
Will the cast be participating in this discussion?
Will you need a microphone for the moderator and panelist?
Other Information / Notes
Should be Empty: