Concurrent Program Proposal
for the Virtual 2021 ASCA Annual Conference
Form introductory information here.
Presenter Information
Please note that all Association correspondence will be directed toward the person listed as the "primary presenter". The primary presenter will be responsible for the subsequent communication of necessary information to their co-presenter(s).
Primary Presenter's Name
First Name Last Name
Primary Presenter's E-mail
example@example.com
Primary Presenter's Cell Phone
Area Code Phone Number
Primary Presenter's Organization/Employer
Primary Presenter's Position Title
Characteristics of Primary Presenter's Institution/Organization/Affiliation:
Type option 1 Type option 2 Type option 3 Type option 4
Do you wish to add another presenter?
Yes No

Co-Presenter Information
Please note that all Association correspondence will be directed toward the person listed as the "primary presenter". The primary presenter will be responsible for the subsequent communication of necessary information to their co-presenter(s).
Co-Presenter's Name
First Name Last Name
Co-Presenter's E-mail
example@example.com
Co-Presenter's Organization/Employer
Co-Presenter's Position Title
Do you wish to add another co-presenter?
Yes No

Co-Presenter Information
Please note that all Association correspondence will be directed toward the person listed as the "primary presenter". The primary presenter will be responsible for the subsequent communication of necessary information to their co-presenter(s).
Co-Presenter's Name
First Name Last Name
Co-Presenter's E-mail
example@example.com
Co-Presenter's Organization/Employer
Co-Presenter's Position Title
Do you wish to add another co-presenter?
Yes No

Co-Presenter Information
Please note that all Association correspondence will be directed toward the person listed as the "primary presenter". The primary presenter will be responsible for the subsequent communication of necessary information to their co-presenter(s).
Co-Presenter's Name
First Name Last Name
Co-Presenter's E-mail
example@example.com
Co-Presenter's Organization/Employer
Co-Presenter's Position Title
Do you wish to add another co-presenter?
Yes No

Co-Presenter Information
Please note that all Association correspondence will be directed toward the person listed as the "primary presenter". The primary presenter will be responsible for the subsequent communication of necessary information to their co-presenter(s).
Co-Presenter's Name
First Name Last Name
Co-Presenter's E-mail
example@example.com
Co-Presenter's Organization/Employer
Co-Presenter's Position Title

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Type a question
Type a question
Type a question
Please read each of the following statements and select each to indicate acceptance.*
All presenters must be registered for the virtual conference by January 8, 2021. Those not registered by this date will be removed from the digital program. All ASCA correspondence regarding this program will be communicated with the primary presenter listed on this form. The primary presenter will be responsible for communication with co-presenters. Concurrent sessions are expected to last a duration of one hour, including Q&A if desired, in an Type option 4
Should be Empty:

Concurrent Program Proposal

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