Session Coordinator FormSESSION COORDINATOR FORMADVANCE Institution _______________________________________________ Session Title _______________________________________________________ Session Time ______________________________________________________ Session Coordinator _________________________________________________ Contact Information for Session Coordinator e-mail address _____________________________________________________ phone number _____________________________________________________ address ___________________________________________________________ Panelists (3 or 4): 1. Name ____________________________Institution________________________ Contact Information for Panelist #1 e-mail address _____________________________________________________ phone number _____________________________________________________ address ___________________________________________________________ 2. Name ____________________________Institution________________________ Contact Information for Panelist #2 e-mail address _____________________________________________________ phone number _____________________________________________________ address ___________________________________________________________ 3. Name ____________________________Institution________________________ Contact Information for Panelist #3 e-mail address _____________________________________________________ phone number _____________________________________________________ address ___________________________________________________________ 4. Name ____________________________Institution________________________ Contact Information for Panelist #4 e-mail address _____________________________________________________ phone number _____________________________________________________ address ___________________________________________________________ Brief description of session: Audio/visual needs for session: Links to this Page
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