Call for Instructors Short Courses

* Title of Proposed Short Course:

* 4-5 Sentence Summary:

How Will the Audience Benefit from your Class?
Who Should Attend (Title, Department, Function):
Level of Class (Beginner, Intermediate/Advanced)
Have You Led a Related Class in the Past? (Please Provide Links if Available)

* Why your proposal should be considered:

* What the audience will gain from your presentation:

* Short Biography: (Bio may be used in print material if proposal is accepted)

* Select : Mr. Ms. Mrs. Dr. Prof.

* First Name:

* Last Name:

Degree / Credential: (eg. Ph.D. or FACR etc.)

* Job Title:

* Department:

* Company/Organization:

* Mailing Address:

* City:

* State or Province (Canada):

* Zip / Postal Code:

* Country:

* Phone:

Ext:

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*Professional Email:

Alternate Email:

Your Organization Website:

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