ISPE Webinar Survey

ISPE Webinar Proposal

Thank you for your interest in hosting a webinar:
The society is currently accepting proposals for educational webinars. Any ISPE committee, council or SIG seeking to sponsor a webinar must submit the form below. The Education Committee will review each application, and if approved, staff will work with you to schedule the webinar.

Webinar proposals must be submitted a minimum of one month in advance for approval and marketing purposes.

Webinar Format:
Webinars will be 60 minutes total; 45 minutes of presentation and 15 minutes for question.

1. Title of Webinar

2. Proposed Webinar Dates (in order of preference) and time (Eastern Time)

Space Cell	First Choice Date	Second Choice Date	Third Choice Date
First Choice Time	First Choice Time: First Choice Date	First Choice Time: Second Choice Date	First Choice Time: Third Choice Date
Second Choice Time	Second Choice Time: First Choice Date	Second Choice Time: Second Choice Date	Second Choice Time: Third Choice Date
Third Choice Time	Third Choice Time: First Choice Date	Third Choice Time: Second Choice Date	Third Choice Time: Third Choice Date

3. Community Sponsor

4. Webinar Lead Contact Name

5. Webinar Lead Email

6. Webinar Abstract/Description

7. Webinar Goal and Learning Objectives

8. List of speakers (Name, affiliation, topic)

Moderator
Speaker 1
Speaker 2
Speaker 3

9. Language Webinar Will Be Presented In

10. Target Audience

11. Target Geographic Region

12. By checking this box, I provide consent for ISPE to post the recorded presentation to a section of the ISPE website accessible to both members and non-members.