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2021 Clinic Session Title Form
2021
MMEA In-service workshop/conference
January 27-30, 2021
Tan-Tar-A Conference Center
2021 Clinic session title form
DEADLINE: AUGUST 1
2021 Clinic Session Title Form
Name (MMEA board member submitting information.)
*
Clinic Presentation for (MMEA Area)
*
Select One
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Clinician Information
Clinician Name
*
First
Last
Please enter clinician name exactly as it should appear in MMEA Conference publications.
School or Company Affiliation
(If Applicable)
Clinician Email
Clinic Session Information
Title of Clinic/Session
*
Please enter the proposed TITLE of the clinic/session as of this deadline.
Clinic/Session Topic
If available, please include a brief overview of the proposed CONTENT of the clinic/session to be presented.
Preferred Day/Date of Clinic Session
Select One
Wednesday - January 27, 2021
Thursday - January 28, 2021
Friday - January 29, 2021
Saturday - January 30, 2021
*No Preference