LinkedIn This field is for validation purposes and should be left unchanged. Type of form submission* New Conference Existing Conference Full Name of Conference* Example:EDUO 0000: Name of conference Conference Image Accepted file types: jpg, jpeg, png, gif. If you do not have an image we will add a default image for this course. Conference Overview:* Use this section to describe what the conference is about. Why someone should enroll in this conference. Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Conference Time Do you want to add additional date and time ?* Yes No Second Start Date MM slash DD slash YYYY Second End Date MM slash DD slash YYYY Second Conference Time Do you want to add additional date and time ? Yes No Third Start Date MM slash DD slash YYYY Third End Date MM slash DD slash YYYY Third Conference Time Instructor's Name* Select a InstructorAddison DuaneAmy KinesAmy RowanAndrew CotterAnna BrueherAnthony FloresAnthony PatricolaApril BenamatiBarb TiggesBeth LevineBill CieslewskiBob WellmanBrian KittleBudd MackenzieCarolyn CatalanoCatherine FongChristina CostaColleen SipichColleen WilkinsonCraig ForemanDennis BurkettDick BachDoug FanninDr. Shawn WattersElizabeth von SchwarzEmily BergerEric ThompsonErich UtrieErin MengeuErnie ShafferFelicia RoblesGina BergskaugGinny HorningGlee BrechlerGwen SissonHeather RidgeHeidi RandallHolly PolliceJanita LoveJean Ann WatermeierJeanette CampbellJenna BellJennifer KernJessica GodburnJoe HerzJohn BoucherJon PulliJoy SamuelsJulia SeufertJulie HaselhorstJulie LindkeJulie SweetmanKarianne Pulli & Steve HorningKarianne PulliKathleen MurphyKathryn Vining & Marlene GrueberKathy GlassKathy SmithKathy SwangerKathy ViningKatie NimitarnunKaty KraemerKerry ThomasKevin & Erin ScharerLauren KinseyLiliana Bejarano-CryerLindsay StephensonLindsey WhiteLisa Johnson-BowersLisa MaglicLori Ann BrucksLori SpinelliLuis BarranonLuisa GuerreraMarlene GruberMary Lou VarniMary RobinsonMaryam TorbatiMatt HeglieMaureen SurbellaMichele BrittinghamMollie Smoke KesselringMolly SchreiberNicholas GosheNicole EspositoPam FerkoPaula HundleyRhiannon KimRhonda StephensRich CreciliusRobin SenetaRon KremerRyan PickettSally OrcuttStephanie GoleyTammy NewmanTanya TaylorTawnya BassTerry JoyceTodd KlammTravis SimpsonVeronica MeadorsWilliam FrederickNot Listed This field is hidden when viewing the form Instructor's Email: Choose from Option: Instructor Coordinator Both Name of Instructor: First Last You can add up to 2 instructors per course. Instructor Email: Instructor's Title: Bio: Phone State: Upcoming Events: EDUX PDF File: Max. file size: 1,000 MB. Bio Photo: Max. file size: 1,000 MB. Add Second instructor: Yes, there are 2 instructors for this conference. Select the checkbox to add a second instructor. Second Instructor Name: Select a InstructorAddison DuaneAmy KinesAmy RowanAndrew CotterAnna BrueherAnthony FloresAnthony PatricolaApril BenamatiBarb TiggesBeth LevineBill CieslewskiBob WellmanBrian KittleBudd MackenzieCarolyn CatalanoCatherine FongChristina CostaColleen SipichColleen WilkinsonCraig ForemanDennis BurkettDick BachDoug FanninDr. Shawn WattersElizabeth von SchwarzEmily BergerEric ThompsonErich UtrieErin MengeuErnie ShafferFelicia RoblesGina BergskaugGinny HorningGlee BrechlerGwen SissonHeather RidgeHeidi RandallHolly PolliceJanita LoveJean Ann WatermeierJeanette CampbellJennifer KernJessica GodburnJoe HerzJohn BoucherJon PulliJoy SamuelsJulia SeufertJulie HaselhorstJulie LindkeJulie SweetmanKarianne Pulli & Steve HorningKarianne PulliKathleen MurphyKathryn Vining & Marlene GrueberKathy GlassKathy SmithKathy SwangerKathy ViningKatie NimitarnunKaty KraemerKerry ThomasKevin & Erin ScharerLauren KinseyLiliana Bejarano-CryerLindsay StephensonLindsey WhiteLisa Johnson-BowersLisa MaglicLori Ann BrucksLori SpinelliLuis BarranonLuisa GuerreraMarlene GruberMary Lou VarniMary RobinsonMaryam TorbatiMatt HeglieMaureen SurbellaMichele BrittinghamMollie Smoke KesselringNicholas GosheNicole EspositoPam FerkoPaula HundleyRhiannon KimRhonda StephensRich CreciliusRobin SenetaRon KremerRyan PickettSally OrcuttStephanie GoleyTammy NewmanTawnya BassTerry JoyceTodd KlammTravis SimpsonVeronica MeadorsWilliam FrederickNot Listed This field is hidden when viewing the form Second Instructor Email: Price* Example: $104 Another example: $104 - $327 Units* 1 2 3 4 5 6 Registration Link:* Syllabus Link: Registration End Date:* MM slash DD slash YYYY Do you want to add additional registration end date ? Yes No Second Registration End Date: MM slash DD slash YYYY Do you want to add additional registration end date ? Yes No Third Registration End Date: MM slash DD slash YYYY Date to Delete Conference MM slash DD slash YYYY Comments Submitted by (internal use only):* First Last Δ
