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Preliminary Session Request Form

  
     

 

THIS FORM SHOULD BE SUBMITTED TO ACI AT LEAST 18 MONTHS BEFORE THE PLANNED CONVENTION

   Educational Session (EAC)

Technical Session (TAC)

Person submitting request:

Name:
Title: 
Affiliation:
Mailing Address:
City:

State:

Zip Code:

Phone Number:

 Fax Number:

E-mail Address: 

Sponsoring Commitee 1:
Sponsoring Commitee 2:
Sponsoring Commitee 3:
Convention:
Days and times requested are not guaranteed. The final schedule will be determined by the Convention Committee.
Day and Time Preference:

Session Moderator:
Name:

Title:

Affiliation:

Mailing Address:

City:

State:

Zip Code:

Phone Number:

Fax Number: 

Email Address: 

Title of Session:

Length of Session: half day - 3 hours  full day - 6 hours

Would the session be appropriate as a Theme Session for the requested convention: Yes   No

Objective/Synopsis of session: (Include who should attend and what are the learner outcomes; 100 words or less)

*PLEASE NOTE: This will be printed in the Convention Preview.*

Probable topics and potential speakers:

Will you select speakers?:     Yes     No

Will you have a call for papers in Concrete International?:   
Yes     No     (Call for Papers)

Has the moderator taken a Session Moderator Training?:    
Yes     No
(If not, EAC/TAC may not approve this session.)

Educational Sessions: If your session is sponsored by an Educational Committee, please print a hard copy of your submittal. (before submitting)  Make 15 copies and give these to the Chair of the sponsoring Educational Committee who will bring these copies to the next meeting of the Educational Activities Committee (EAC) for approval.

Technical Sessions: If you want a print out of your submittal, please print before submitting.