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AAPT Workshop/Tutorial Request Form

* - Required Fields

Workshop requests must be approved by the sponsoring committee(s) before they are submitted to AAPT. This form is NOT a request for committee approval. Please read our information page on How To Organize a Session or Workshop for a Future AAPT National Meeting.

For committee chair contact information, please visit: http://www.aapt.org/Directory/chairs.cfm
Request for the

Check one:
 Workshop
 Tutorial

Sponsoring Committee*:

Co-Sponsoring Committee:

For multiple selections hold ctrl + click

Committee Approval:

Select Title*: (Can revise below)

Organizer Information 		 

First Name*:

Middle Initial:

Last name*:

Business Address*:


Business City*:

Business State:

Business Zip*:

Business Country:

Business Telephone*:

Fax:

E-mail*:

Co-organizers:

Check one (length):

Preferred Day:

Is This a PTRA Workshop?   Yes   No

Equipment Needs:
Room Needs:

Macintosh,  how many?
PC-Compatible,  how many?
Zip Drives
Internet
Free PCI Slots
Computer Projection
VCR and Monitor
Overhead Projector and Screen
Extra Screen
Flip Chart
Lecture Settings
Classroom Setting
Laboratory Setting
Moveable Tables and Chairs
Desk Chairs Okay

Other Room Needs:

Equipment Needs: (List all, as nothing can be added later.)

Comments: (Revise title here)
Will you be accepting financial support from any supplier of commercial materials? 
Yes  No

ABSTRACT (150 word limit, no hard returns):

Maximum # of participants:

Minimum # of participants:

YOUR Budget Cost Per Person to present workshop:

NOTE: No Budget is allowed for Tutorials.

$.00* (whole dollar amounts only)

*(Do not list the final amount you want the workshop to cost. This is just for YOUR budget cost per person to run the workshop and to cover the cost of handouts, photcopying, and shipping costs.)

View guidelines for establishing workshop fees

Submit    Clear Form

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