"Light, Vision & Consciousness"

The 21st ANNUAL ISSSEEM CONFERENCE

June 24-27, 2011 - at the Westin Resort in Westminster, Colorado, USA

2011 ISSSEEM CONFERENCE SUBMISSION MEMBERS CHOICE FORUM

The submission process for Members Choice Forum presentations at the 2011 ISSSEEM conference is now closed. Thank you for your interest. If you submitted a topic and title and meet the member and attendance qualifications, you are accepted to present. Further information about Members Choice Forum will be emailed.

“Members Choice” is a fast-paced, fun event, unique to the ISSSEEM conferences created to provide a vehicle for interesting, relevant ideas to be shared. It is a forum in which members can deliver a 15 minute presentation on a topic of choice. Members Choice Forum talks are "NO-TECH" - which means presenters speak "eye to eye" to an audience of fellow members in informal, short gatherings. These "soap box" style presentations have been called a cross between "Ted Talks" & "Speed Dating!”"

Your Members Choice talk will be scheduled for the 2011 Forum if you:

Submit by December 1, 2010.
Ensure your membership in the Society is current and dues are paid.
Register to attend the 2011 conference by April 30, 2011.
Respond to our confirmation request via email prior to conference.

Member's Choice Forum Submissions Guide:

Please submit only if you sincerely intend to present! A session is scheduled for your title /topic if you submit by December 1, 2010 and meet eligibility requirements.
Appropriate topics are those that relate to Subtle Energies and/or Energy Medicine and support the purpose of the Society to promote understanding, exploration, research and application of the energies of consciousness.
Members Choice Forum is a community activity during which there are no concurrent activities scheduled - everyone participates. Members present prepared, precisely timed and scheduled talks - attendees who are not presenting choose talks they would like to attend.
"NO-TECH" tech means microphones and electronically supported visuals may not be used. Only simple ‘props’ or visual aids like posters that may be easily hand-carried are permitted.
The Forum is redesigned each year dependent upon the number of participants. Participants will deliver their 15 minute talk at least one time and likely more than once.
Members in good standing who are registered to attend conference by April 30, 2011 and have confirmed their intent to present will be scheduled to deliver at the forum.
You will be notified of the day and time for your presentation and what to expect around the structure of the 2011 Forum well before the conference. Your name and topic/title will appear in the conference program exactly as you submit them. The description is for the Program Committee’s review.

Jquery Inline Form Validation Engine

2011 ISSSEM Conference - Third Annual Members Choice Forum- Submital

Please note – all fields marked with * are mandatory.

Presenter Contact Information

Presenter:* (name as will appear in promotional pieces)	(First/ Middle Initial / Last)
Credentials: (Ph.D, LCSW, MA, etc. "none" if not applicable, )
Company / Organization:
Website: (example: www.isssem.org)
Address 1:* (street & number)
Address 2:
City:*
State/Province:*
Country:*
Zip/Postal Code:*
Email Address:*
Confirm Your Email:*
Phone1* (3-digit area code) xxx-xxxx + ext. if applicable	( ) ext.
Phone2	( ) ext.
International Phone Number: If applicable, please enter your international phone number including country and area codes.	Example: 44 (0) 1223 2233

Proposed Members Choice Forum Presentation

Title:* (Max 60 Characters)
Topic:* (Max 100 Characters)
One sentence description of your talk:* (Max 200 Characters)

Agreements

To submit, you must check all boxes to indicate your agreement with all terms.

1) I (We) understand that to ensure I (We) receive email notifications about my participation, I must opt in on the ISSSEEM mailing list.	Yes: Click here eSSSEEM COMMUNITY TOUCH POINTS to sign up.
2) I (We) understand and agree to the condition of membership with annual dues paid by April 30, 2011 to participate in the Members Choice Forum.	Yes:
3) I (We) understand and agree to the condition of full conference registration paid by April 30, 2011 to participate in the Members Choice Forum.	Yes:
4) I (We) understand and agree to comply with edits or revisions of the topic/title if requested by the Program Committee.	Yes:
5) I (We) COMMIT to attend the conference and present this topic at the Members Choice Forum as proposed (or revised as in #4 above).	Yes:
6) ISSSEEM has my permission to print my name and topic in its marketing materials, including but not limited to its website and the conference program.	Yes:
7) ISSSEEM has my permission to take photographs and/or video recordings of me at the conference which may be used for marketing purposes.	Yes:

Co-Presenter(s)

Click here to add co-presenter(s)?

Co-Presenter 1 Details

Presenter:* (name as will appear in promotional pieces)	(First/ Middle Initial / Last)
Credentials: (Ph.D, LCSW, MA, etc. "none" if not applicable, )
Email Address:*
Phone1* (3-digit area code) xxx-xxxx + ext. if applicable	( ) ext.

Co-Presenter 2 Details

Presenter:* (name as will appear in promotional pieces)	(First/ Middle Initial / Last)
Credentials: (Ph.D, LCSW, MA, etc. "none" if not applicable, )
Email Address:*
Phone1* (3-digit area code) xxx-xxxx + ext. if applicable	( ) ext.

Co-Presenter 3 Details

Presenter:* (name as will appear in promotional pieces)	(First/ Middle Initial / Last)
Credentials: (Ph.D, LCSW, MA, etc. "none" if not applicable, )
Email Address:*
Phone1* (3-digit area code) xxx-xxxx + ext. if applicable	( ) ext.

Co-Presenter 4 Details

Presenter:* (name as will appear in promotional pieces)	(First/ Middle Initial / Last)
Credentials: (Ph.D, LCSW, MA, etc. "none" if not applicable, )
Email Address:*
Phone1* (3-digit area code) xxx-xxxx + ext. if applicable	( ) ext.

Password

The information provided above will be stored in a database. To return and edit your information at a later time, please provide us with a unique password. Your Username will be the main email provided above.

Password:* At least 6 characters
Confirm Your Password:*

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