Program Planning Committee Conference Panel Proposal Form
FY2027
Submitted by:
Full Name
*
First Name
Last Name
Organization
*
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Conference Information
Proposed Panel Title
Proposed Panel Description
Brief overview of the topic and what attendees will learn or hear from speakers on this topic.
Which area of the alcohol industry is this topic most relevant to?
*
Regulatory and Legal
Compliance, Enforcement, Public Safety
Industry Trends, Market Dynamics
Emerging Products
Technology/ AI
Professional Development (ethics)
N/A
Other
Has this topic (or a similar one) been covered at another conference in a way you found particularly informative or engaging?
Please Select
Yes
No
I don't know
If yes, please provide the conference name, date (if possible), and the reasons you found it informative or engaging.
Speaker Information
Please include as much information as possible for recommended speakers
Rows
First and Last Name
Organization/ Company
Contact Info
Proposed Moderator
Proposed Panelist
Proposed Panelist
Proposed Panelist
Proposed Panelist
Proposed Panelist
If you are not proposing a panel, but instead would like to be considered for a speaking role, please provide a list of topics that you would be willing to speak to.
Supporting Documents
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Upload any documents, reading materials, etc. that provide additional context. Information could be used when submitting CLE approval prior to the conference if your panel topic is chosen.
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Additional Notes or Comments
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