51³Ô¹Ï Regional Symposium Inquiry Form Thank you for your interest in hosting an 51³Ô¹Ï Regional Symposium! 51³Ô¹Ï members are responsible for coordinating and developing the content of the program, while 51³Ô¹Ï staff will coordinate contracts, hotels, and other financial and logistical matters. The planning process should start at least six months prior to the actual date of your event. Once this form has been reviewed and approved, 51³Ô¹Ï staff will coordinate the next steps with you. Then, you may contact the colleges, schools, or programs you plan to invite/ask to host the Regional Symposium. To get started, please complete the information below. Symposium InformationContact Name(Required)Contact Email Address(Required) Contact Phone NumberProposed Date or Time Frame(Required)Proposed Location (please specify city)(Required)Would the symposium be hosted on a school/college campus or in a hotel? School/College Campus Hotel If a school/college campus is interested in hosting, what is the name of the institution?Institution Contact NameInstitution Contact EmailInstitution Contact Phone NumberDescribe the nature of this event (e.g. panelists, roundtables)(Required)What are your goals for this event?(Required)Who is the target audience/attendee group(s)?(Required)Will participants need housing/hotel accommodations?(Required) Yes No Please share hotel suggestions.Will a meal (or meals) be part of the program?(Required) Yes No Estimate event size (minimum and maximum).(Required)Any other details you would like to share?If you have any questions, please contact Valerie Vasquez-Guzman, 51³Ô¹Ï's Director of Education Programs, at [email protected]. Δ
