Speaker Proposal Form
Please fill out as much information as possible.

aIPAM has 2 conferences. A spring conference (typically early March) and a fall conference (typically late September or early October). �We usually have 4-5 speakers per conference. �Speakers typically have 50-60 minutes and should be be able to complete their presentation with time for questions and answers included in that time. �

Note, you will be contacted within a few weeks if we are interested in having you present at one of our currently scheduled conferences or a future conference. �Thanks for you interest in presenting and for supporting aIPAM. �

* indicates required fields 
  *I would like to present at the::
  *Presenter Name:
  *Presenter Title:
  *Presenter Organization:
  Contact Name (if different than presenter):
  *Contact Email:
  *Contact Phone:
  *Presentation Topic:
  Presentation Title:
  *Presentation Description:

After filling out the form please click on the SUBMIT button.
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