2027 | Clinic/Session Information Form

Step 1 of 7

14%

Facebook

This field is for validation purposes and should be left unchanged.

Clinic/Session Information

Clinic/Session Category:*

Clinic Presentation For (MMEA Area):*

Title of Clinic/Session:*

Clinic/Session Description:*

Clinician/Clinic Sponsor(s):

Please provide pertinent information regarding any/all sponsorship for this session. (i.e. Name of sponsoring company/organization, contact person, contact person information – email, phone, etc.)

Microphone Needs:*

Lavalier (Clip-On)

Handheld – Wireless

Handheld – Wired

Additional Information Regarding Microphone Needs:

Please include any information that will help planning for the session’s AV/microphone needs.

Equipment Needs:*

None

Piano

Data Projector

Audio Connection to the “house” sound system

Other (Please indicate your needs below)

NOTE: Computer availability is the responsibility of the presenter/clinician. MMEA does not provide computers for event sessions.

Additional Equipment Needs:

Please list any additional equipment/audio visual needs required for this session.

Does this session require a DEMO Ensemble?*

Yes

NOTE: Please refer to Section 10.4 of the MMEA Performance Application Criteria for information regarding Demonstration Groups.

Additional Information:

Please provide any additional information that may be relevant to the success of this presentation.

Primary Clinician/Presenter Information

Name | Primary Clinician/Presenter:*

First Last

Clinician/Presenter Title:

Provide the title that will appear in conference publications (i.e. Director of Choirs)

Name Badge Information (City/State OR Institution):*

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.

Email | Primary Clinician/Presenter*

BIOGRAPHICAL INFORMATION

1. You may type or “cut & paste” directly into the form field below.

2. You may upload your biography through the document upload field below.

Biographical Information

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Upload Biographical Document

Max. file size: 8 GB.

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Add a Co-Presenter (1)*

Yes

Co-Presenter (1) Information

Name | Co-Presenter 1:*

First Last

Email | Co-Presenter 1:*

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.

Name Badge Information (City/State OR Institution):*

BIOGRAPHICAL INFORMATION

1. You may type or “cut & paste” directly into the form field below.

2. You may upload your biography through the document upload field below.

Biographical Information

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Upload Biographical Information

Max. file size: 8 GB.

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Add a Co-Presenter (2)

Yes

Name | Co-Presenter 2:*

First Last

Email | Co-Presenter 2:*

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.

Name Badge Information (City/State OR Institution) | Co-Presenter 2:*

Biographical Information | Co-Presenter 2

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Upload Biographical Information

Max. file size: 8 GB.

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Add a Co-Presenter (3)

Yes

Name | Co-Presenter 3:*

First Last

Email | Co-Presenter 3:*

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.

Name Badge Information (City/State OR Institution) | Co-Presenter 3:*

Biographical Information | Co-Presenter 3:

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Upload Biographical Information

Max. file size: 8 GB.

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Add a Co-Presenter (4)

Yes

Name | Co-Presenter 4:*

First Last

Email | Co-Presenter 4:*

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.

Name Badge Information (City/State OR Institution) | Co-Presenter 4:*

Biographical Information | Co-Presenter 4:

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Upload Biographical Information

Max. file size: 8 GB.

Please limit your bio information to a maximum of 175 words.

NOTE: MMEA reserves the right to edit bio information, as needed.

Submit Information Now:

Yes

Thank You!

CAPTCHA

2027 | Clinic/Session Information Form

Clinic/session informatION form