EmailMe Form - USITT Education Commission Session Submission 2014

Session Title *

Preferred Day

Wednesday

Thursday

Friday

Saturday

Preferred Time

Target Audience (check all that apply) *

Student

Entry-Level

Mid-career

Advanced

Anticipated Attendance *

Session Description (100 word limit) *

Session Submitter Information

Please fill out all fields fully

Name *

First Last

Email *

Confirm

Phone *

### - ### - ####

SECONDARY Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

USITT Member?

Yes

No

Additional Session Presenters

Please describe the other presenters for this session

Name 1

First Last

Email 1

USITT Member 1

Yes

No

Name 2

First Last

Email 2

USITT Member 2

Yes

No

Name 3

First Last

Email 3

USITT Member 3

Yes

No

Room Configuration

Check all Desired Components

Room Configuration *

Classroom- Raised Dias, Tables with Chairs

Theatre Panel- Raised Dias, Chairs in Rows

Hollow Square, Tables facing each other - Conference Room Style

Tables along walls (please describe numbers in Special request area)

Technology Required - Please Check All That Apply *

Other Technology Requests: Microphone ?'s, Props, Other, etc:

Special Requests or Comments