Pre-Determined Panel (submit up to 4 presenters)

Pre-Determined Panel Title

Pre-Determined Panel Period

If "OTHER" period, explain

Pre-Determined Panel Theme

If "OTHER" theme, explain

PRESENTER #1 (MUST BE FACULTY)

Presenter #1 Name

Presenter #1 Email

Presenter #1 College/University

Presenter #1 School Affiliation (for name tag)

Presenter #1 Inducted into Phi Alpha Theta at

Presenter #1 Year of Induction

PRESENTER #2

Presenter #2 Name

Presenter #2 Email

Presenter #2 College/University

 Faculty Student

Presenter #2 School Affiliation (for name tag)

Presenter #2 Inducted into Phi Alpha Theta at

Presenter #2 Year of Induction

PRESENTER #3

Presenter #3 Name

Presenter #3 Email

Presenter #3 College/University

 Faculty Student

Presenter #3 School Affiliation (for name tag)

Presenter #3 Inducted into Phi Alpha Theta at

Presenter #3 Year of Induction

PRESENTER #4

Presenter #4 Name

Presenter #4 Email

Presenter #4 College/University

 Faculty Student

Presenter #4 School Affiliation (for name tag)

Presenter #4 Inducted into Phi Alpha Theta at

Presenter #4 Year of Induction