Name *

First Name

Last Name

Presentation Method:

Choose all that apply.

Single Presenter

Co Presenters

Panel Discussion

Visual / Slides

Technical Demonstration

Building Tour

Requested Presentation Length: *

60 Minutes

90 Minutes

120 Minutes

Is this course already registered with the AIA Continuing Education System?

Yes

No

Not Sure

Is this course eligible for Health, Safety, & Welfare Credit

Three of four learning objectives must be directly related to Health, Safety, and Welfare in order for a course to qualify for HSW credit. Visit www.AIA.Org for more information.

Yes

No

Not Sure

Submittal Agreement - *

Please check to certify that::

If selected, I will submit brief handout materials of my presentation for digital distribution.

If selected, I understand that I am responsible for travel-related expenses.

If selected, my presentation will focus on the learning experience and thus not be self-serving or promotional.

If selected, I understand that I must abide by the requirements and guidelines established by the AIA Continuing Education System, which will be provided by AIA Westchester Hudson Valley if I am not an AIA Registered Provider.