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* 1. Submitter Full Name

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* 2. Submitter Email

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* 3. Please use the space below to describe your propsal.

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* 4. Proposed speakers (if available)

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* 5. Proposed Learning Objective 1

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* 6. Proposed Learning Objective 2

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* 7. Proposed Learning Objective 3

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* 8. Please use this space to share any additional information about your proposal. 

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