2010 QWQHC Summit : Call for Submissions

• Call for Submissions (PDF):    » English    » Français
• Preliminary Program (PDF):    » English    » Français

 

Please complete all fields of the form below. If a field is not applicable, please leave it blank.

Anyone wishing to enter their submission in French is invited to do so.
Quiconque le souhaite peut présenter son abrégé en français.

Personal Information
Salutation :
First Name :	*
Last Name :	*
Title :
Organization :	*
Address :
City :
Province/State :	*
Postal/Zip Code :
Telephone :
Email :	*
Abstract Information
Please select the type of presentation you wish to be considered for:
	Concurrent Session       Showcase        Both
	Please check here if you would like to be automatically considered for the Showcase       if you are not chosen for a concurrent session.
Please identify the theme or focus of your presentation/showcase (max. 10 words please):
I will present my presentation in (select one):
	English       French
Please identify the presenter(s) who will be on site at the event:
First :
Second (optional) :
Third (optional) :
Please enter your submission text here.   REMINDER: 250 words or less
Title :
Submission :
Please outline the audio visual requirements for your presentation or the set-up requirements for your showcase:
Please identify if there is someone else you would like notified of your submission results:
Name :
Email :
* indicates required field