20th Annual Meeting Workshop Submission Form

AAAP 20th Annual Meeting

2009 Workshop Submission Form

Principal Author & Degree:
(Type author name, last preceding first, and degree. Example: John Doe, MD, University of Michigan.)
Institutional Affiliation:
Address 1:
Address 2:
City:
State:
Country:
Zip/Postal Code:
Telephone:
Fax:
Email #1 (list one only):

Additional Presenters: (Type in author name, degree and institutional affiliation in upper and lower case letters. Example: John Doe, MD, University of Michigan; Jane Smith, MD, University of Miami; and Pat Jones, PhD, Harvard University.)
AV Request:		LCD Projector TV & VCR Flipchart
		Due to budget restraints, AAAP is not able to supply laptops to presenters. If you are planning to use an LCD projector, please make arrangements to supply your own laptop.
Workshop Title: (NOT to exceed 15 words)
Learning Objectives: (State the objective of the workshop. A learning objective clearly states what someone will learn as a result of the presentation.)
Workshop Summary: (Describe the workshop in 250 words or less.)
Contents and Methods: (Describe the identified objectives to be accomplished.)
		Invited speakers MUST submit slides for inclusion in participant materials. Principal authors will be notified of review decisions by August 1st, 2009.