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* 1. Type of Presentation

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* 2. Presenter 1 Information

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* 3. Presenter 2 Information

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* 4. Presenter 3 Information

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* 5. Presenter 4 Information

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* 6. Presenter 5 Information

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* 7. Title of Presentation (100 characters maximum)

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* 8. Program description (1500 characters maximum)
Please include a program overview, rationale, content, and implications

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* 9. Target audience. Check all that apply.

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* 10. Main topic areas:

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* 11. Learning Objectives

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* 12. Program Abstract (500 characters maximum): a brief summary of the information in your presentation (for ICAPC Program Guide)

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