Special Interest Group (SIG) Proposal
Complete this form and click the Submit button at the bottom of the form. The Osher Executive Committee will consider your proposal and you will be contacted. Thank you for your interest.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone number
*
Proposed name for the proposed SIG
*
Limit is 50 characters.
Purpose of the SIG:
*
Benefits to the participants:
*
To which Osher at CMU courses is this SIG related, and how?
*
What is the likely audience for this SIG?
*
Limit is 50 characters.
If another Osher members will assist with this SIG, please provide contact info:
First Name
Last Name
Email
example@example.com
Phone Number
SIG Description
*
Limit 150 words.
0/150
Coordinator's Biography
*
Limit 200 words total for all coordinatiors
0/200
Day of the Week to meet
*
Monday, Tuesday, etc.
Start Time to meet
*
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:
Hour
00
10
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30
40
50
Minutes
AM
PM
AM/PM Option
End Time
*
1
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:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Frequency of meeting
*
weekly, monthly, biweekly, etc.
If there is an end date for this SIG's meetings, please specify:
-
Month
-
Day
Year
Date
If there are specific requirements for participating in this SIG, please describe them:
Additional relevant information (optional):
Submit
Should be Empty: