CommitteePlease select the committee for which you are submitting a webinar proposal. Constitution & Bylaws History International Membership & Credentials Research Surgical Education Value Based Healthcare Website & Communications Committee Member Contact InformationPlease complete contact information for the member leading the planning of the webinar. Committee Member Name* First (Given) Name Last (Family) Name Committee Member Email* Webinar InformationWebinar Title* Webinar Description*Provide 3-5 sentences describing the webinar, including target audience. Proposed Date*To ensure proper planning it is recommended webinars be planned for 4-6 weeks away from the date of submitting the proposal. If approved the NASBS will make every effort to accommodate the proposed date, though we reserve the right to change the date depending on other society activities. MM slash DD slash YYYY Webinar ObjectivesWrite at least three objectives focusing on what the learners will do as a result of this webinar. 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 webinar objectives you will write:*12345Webinar Objective 1* Webinar Objective 2* Webinar Objective 3* Webinar Objective 4* Webinar Objective 5* Webinar ModeratorsPlease enter the names and email addresses of the moderators who should be invited to this webinar.Moderator 1* First (Given) Name Last (Family) Name Moderator 1 Email Moderator 2* First (Given) Name Last (Family) Name Moderator 2 Email Webinar OutlineOutlinePlease use the Add Activity button to add a speaker, break, etc. to the session outline. Activity Order Title of Presentation or Activity Presenter/Faculty Name Time allotted in minutes for this activity Actions Edit Delete There are no Activities. Add Activity Maximum number of activities reached. Special RequestsPlease list any special requests here. PhoneThis field is for validation purposes and should be left unchanged.
