SPP Fall Meeting Host Site Proposal Form

Fall Meeting Host Proposal Form

Please complete as much information as possible; we realize some specifics may be unknown upon submission of this proposal form.
Logistical and Financial Information:
Fall Meeting Host Location (Institution, City, State):
Fall Meeting Proposed Dates:

MonthDayYear
Start Date
MonthDayYear
End Date
*Please note, Meeting Venue will need to be reserved from Tues-Sunday of meeting week

Fall Meeting Host Proposal Form

Please complete as much information as possible; we realize some specifics may be unknown upon submission of this proposal form.
Primary Proposal Contact Information:
Name:

First NameLast Name
Credentials:
Title(s):
Affiliation(s)
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternative Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.

Fall Meeting Host Proposal Form

Please complete as much information as possible; we realize some specifics may be unknown upon submission of this proposal form.
Meeting Venue Proposal

Minimum Space Requirements:
- General Session/Symposium Classroom/Ballroom, capacity 175-200 classroom set (with space for stage, AV and screens for presentation, as well as hard-wired internet): Thursday-Sunday
- Scientific Poster Hall, capacity to allow for 50-60, 8’x4’ poster boards: Thursday-Sunday
- Exhibit hall space for a minimum of 10 exhibit booths (6’ tables, access to electricity, in close vicinity, or in the same room as the breakfast/lunch/refreshment location): Thursday-Saturday
Venue Suggestion(s):
If the venue is not a hotel, please indicate hotel options for a room block contract:
If the venue is not a facility with in-house food and beverage, please provide the name of preferred catering companies:

Fall Meeting Host Proposal Form

Please complete as much information as possible; we realize some specifics may be unknown upon submission of this proposal form.
Banquet
Fall Meeting Banquet Venue Proposal:
Proposed caterer, if different than venue:
What is the capacity of the proposed venue?
Proposed transportation vendor, if necessary:
Social Event
Social Event Proposal:
Proposed caterer, if applicable:
Is there a capacity limitation for event participation?

YesNo
Activities:
Will there be other activities included (e.g., hospital tour)?

YesNo
If yes, please describe:

Fall Meeting Host Proposal Form

Please complete as much information as possible; we realize some specifics may be unknown upon submission of this proposal form.
Does your group have a planned symposium for perinatal, pediatric, or both?

PerinatalPediatricNeither
What is the topic of the perinatal symposium?
What is the topic of the pediatric symposium?
Please upload your symposium proposal(s):

Cancelof
Should be Empty:

Fall Meeting Host Proposal Form