2007 FGS CONFERENCE
Request for Lecture Proposal Form
* indicates a required field on the form
Submitted by*:
(Enter name as it would appear in the program, including
postnominal)
Address*:
Telephone (Home):
Telephone
(Work):
Fax:
Email*:
Lecture Title*:
Subject Area*:
Audience Skill Level*:
Outline*:
Brochure Summary*: (Please limit to 50
words or less.)
Audio/Visual Requirements*:
Are you willing to have the lecture taped?*
Estimated number of syllabus pages for this topic (max
of 4)*:
Past Lecture Experience*:
Deadline for receipt is 5 January 2006.
Please click the Submit Form button ONLY ONCE to
submit your Lecture Proposal. If you submit your Lecture Proposal
electronically, using this form, you do not have to submit two copies,
and therefore should not submit the form twice. In addition, if you
submit your proposal electronically, you do not need to mail a copy to
the Program Committee.
