All fields REQUIRED unless specified.

PRESENTER CONTACT INFORMATION


If selected, the following will be used in various publications:

Character count: 0/300

NON-PRESENTING PROPOSER CONTACT INFORMATION

(optional to be completed only if NOT a presenter included in the proposal)
Please include Name, Cell Phone, Email

PROPOSAL DETAILS

Character count: 0/30

Character count: 0/1800

Character count: 0/300

CO-LECTURE DETAILS

If this is a co-lecture, please fill out the following fields:


Character count: 0/300

PANEL DETAILS

If this is a panel, please fill out the following fields:


Character count: 0/300


Character count: 0/300


Character count: 0/300


Panelist #3 Resume
(2 page limit, upload as .doc, .docx or .pdf, not to exceed 2MB)

Character count: 0/300

 

IMAGES - Up to 10 images (Only images that directly reference the actual proposal)

IMAGE 01


Character count: 0/300
Character count: 0/300

+ Another image

INTRODUCTIONS

Indicate if you would like your presentation/panel to be introduced by a mentor, student, professor, or colleague. Otherwise, an NCECA board member will introduce you. (Moderators for panels will be introduced; moderators will subsequently introduce their panelists).

 

Please hit Submit only ONCE! The form data could take several minutes to submit particularly with multiple images.