New submission

First Name (Required)

Last Name (Required)

Email (Required)

CALP Organization (Required)

Spoke Host Contact Name #1 (Required)

Spoke Host Contact #1 Email address (Required)

Spoke Host Name #2 (if applicable)

Spoke Host #2 Email address (if applicable)

Spoke Host Contact Name #3 (if applicable)

Spoke Host #3 Email address (if applicable)

Confirm that you will be hosting a spoke on the following dates (select all that apply): (Required)

Tuesday, September 28

Wednesday, September 29

Thursday, September 30

Location - Host CALP's meeting room space or alternate venue of choice: (Required)

Describe your onsite AV equipment and Internet access: (Required)

Number of Spoke Facilitators? (Required)

Name of Spoke Facilitator #1 (Required)

Spoke Facilitator #1 email address (Required)

Name of Spoke Facilitator #2 (if applicable)

Spoke Facilitator #2 email address (if applicable)

Name of Spoke Facilitator #3 (if applicable)

Spoke Facilitator #3 email address (if applicable)

Number of attendees anticipated? (Required)

Number of CALPs anticipated? (Required)

Describe your plan for inviting attendees: (Required)

CLN will be hosting 2 separate online gatherings, one specifically for Spoke Hosts and one specifically for Spoke Facilitators. The gatherings are intended to support Spokes and all Spoke contacts must be in attendance. Please confirm that you/your team are able to attend the following: September 15th, 2021 – An online gathering of Spoke Hosts from 1:00 – 2:00 pm (Zoom link will be provided) and September 15th, 2021 – An online gathering of Spoke Facilitators from 2:30 - 3:30 pm (Zoom link will be provided) (Required)

Yes, we will attend the sesion on September 15th at 1:00 pm – An online gathering of Spoke Hosts from 1:00 – 2:00 pm (Zoom link will be provided)

Yes, we will attend the online sesion on September 15th at 2:30 pm – An online gathering of Spoke Facilitators from 2:30 - 3:30 pm (Zoom link will be provided)

Symposium 2021 Spoke Application Form