RDC Workshop Submittal Form
Due date: September 23, 2010
* indicates field is required.
* Workshop Title:
Time (most workshops are 90 minutes):
90 minutes
2 hours
(hours)
Sponsor:
*
Workshop Description:
Include a one paragraph description of the workshop. This will allow attendees to understand what they will learn at your presentation.
Learning Objectives:
In order to qualify your workshop for continuing education credits, you must provide 4 specific learning objectives. The BSA will submit these objectives to the AIA or other certifying organizations.
Objective 1:
Objective 2:
Objective 3:
Objective 4:
Submitter:
* Name(including AIA and other certifications):
Title:
Company:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Moderator? (Y/N):
Yes
No
Speaker? (Y/N):
Yes
No
Speakers:
For each speaker, include the following contact information.
Name(including AIA and other certifications):
Title:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Email:
Moderator? (Y/N):
Yes
No
Name(including AIA and other certifications):
Title:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Email:
Moderator? (Y/N):
Yes
No
Name(including AIA and other certifications):
Title:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Email:
Moderator? (Y/N):
Yes
No
Name(including AIA and other certifications):
Title:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Email:
Moderator? (Y/N):
Yes
No
Name(including AIA and other certifications):
Title:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Email:
Moderator? (Y/N):
Yes
No