Program Proposal Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What is your preferred format?
*
Wednesday Evening Lecture (45 minutes - 1 hour, followed by Q&A)
Study Group (usually 2-5 sessions, 1.5 hours each)
Conference (3-4 hours, allowing 1 hour of Q&A)
Other
Please provide an abstract for your program or a few sentences about the content.
*
Please provide your qualifications or short bio.
*
CV (optional)
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