If you have any questions, please contact [email protected]. "*" indicates required fields Committee Member Contact InformationPlease enter the name of the Program Committee Member completing this form below.Committee Member Name* First (Given) Name Last (Family) Name Committee Member Email* Session InformationSession Title (as provided by Program Chairs)* Session Description*Provide 1-2 sentences describing the session, including who should attend. Please check all boxes applicable to the session content:* #Vascular #CSF Leak #Reconstruction #Value #MTD/Team #Quality of Life #Survivorship #Radiation #Orbit #Rehabilitation #Imaging #Malignancy #AI #Pituitary #Acoustic #DEI #Pediatrics #Pathology #Chemo #Immunotherapy #Endocrine Session ObjectivesWrite at least three objectives focusing on what the learners will do as a result of this activity. Use ACTION words like: • Adjust • Articulate • Classify • Convey • Diagnose • Distinguish • Hypothesize • Infer • Organize • Prioritize • Relate • Apply • Assess • Compare • Create • Diagram • Employ • Identify • Integrate • Plan • Produce • Select • Appraise • Categorize • Conduct • Demonstrate • Differentiate • Evaluate • Illustrate • Interpret • Predict • Recognize • Solve • Arrange • Choose • Construct • Develop • Discriminate • Formulate • Implement • Manage • Prepare • Recommend • Use At the conclusion of this session, participants will be able to: Select the number of session objectives you will write:*12345Session Objective 1* Session Objective 2* Session Objective 3* Session Objective 4* Session Objective 5* Session ModeratorsPlease enter the names and email addresses of the moderators who should be invited to this session.Moderator 1* First (Given) Name Last (Family) Name Moderator 1 Email Moderator 2* First (Given) Name Last (Family) Name Moderator 2 Email Session OutlineSession Outline Activity Order Title of Presentation or Activity Actions Edit Delete There are no Activities. Add Activity Maximum number of activities reached. Reminders! You may be required to peer review your faculty presentation(s) in advance of the meeting if it was determined based on their disclosures that they may have conflict of interest presenting the topic.AVPLEASE NOTE: All AV requests are subject to approval by the NASBS Program Chairs.Special RequestsIf you have any specific requests for AV, such as polling, please let us know below.NameThis field is for validation purposes and should be left unchanged.