AAPA Planner 2016 - Event Request Form

Space is assigned on a first-come, first-served basis. The sooner we have information the sooner we can promote your events.

Promotional Deadlines: December 16, 2015 - Final program and May 5, 2016 - Mobile App (updates & changes)

Restricted Times: Saturday, May 14 – Wednesday May 18 - 8 a.m. – 6 p.m. (if event is over 25 people)

Notify Mairi Ferguson at mferguson@aapa.org of any changes. Events/meetings submitted after December 16, 2015 will not be included in the printed program. However, will be available in the online conference scheduler and in the AAPA mobile app.

*Do you want your event/meeting listed in marketing materials?

Events and meetings held at the convention center or the headquarters hotel will be printed in the final program. Non-AAPA sponsored events held off-site may be listed in the online conference scheduler and the AAPA mobile app provided they are not in conflict with AAPA sponsored events. Non-AAPA events held off-site will not be printed in the final program.

*Event Title - No Abbreviations

List exactly how the event should be listed in the final program, online & mobile app

*Description of Event

(chars left: 500)

List exactly how it should be listed in the final program, online & mobile app. This field is required, if you do not have a final description at this time, please fill out key elements/purpose of the event. Final description should be no longer than 70 words.

*Is there a separate ticket required to attend this event?

*Event Type

Please select the best event type.

*Desired Room Set Up

If you require a unique room set up, please send diagrams to Mairi Ferguson at mferguson@aapa.org.

*Date of Event

Tentative Conference Schedule:

Saturday, May 14

- 8 a.m. - Noon; 1 - 4 p.m. - CME Sessions

- 8 a.m. - 3:45 p.m. - Assembly of Representatives (AOR)

- 9:30 a.m. - 3:45 p.m. - House of Delegates (HOD)

- 4 - 5:30 p.m. - Opening General Session

- Alumni Night (Alumni groups are encouraged to host Alumni events on Saturday evening)

Sunday, May 15

- 8 a.m. - Noon; 1 - 6 p.m. - CME Sessions

- 8 a.m. - 4 p.m. - Assembly of Representatives (AOR)

- 9 a.m. - 5 p.m. - House of Delegates (HOD)

- 5:30 - 6:30 p.m. - CO Leadership Forum with Awards Presentation

- 7 p.m. - Challenge Bowl

- CO Night (COs are encouraged to host CO events on Sunday night)

Monday, May 16

- 8 a.m. - Noon; 2 - 6 p.m. - CME Sessions

- 8 a.m. - 12 p.m. - House of Delegates (HOD)

- 9 a.m. - 5 p.m. - Exhibit Hall

- 4 - 7 p.m. - Memorial Ceremony and Reception presented by the Veterans Caucus of AAPA

- 6 p.m. - Lonestar Live: FUNdraiser Benefiting your PA Foundation

Tuesday, May 17

- 8 a.m. - Noon; 2 - 6 p.m. - CME Sessions

- 9 a.m. - 2:30 p.m. - Exhibit Hall

Wednesday, May 18

- 8 a.m. - 5 p.m. - CME Sessions

*Start Time

*End Time

*Event Location Requested

If the event is off-site, please include the location in the "Additional Information" field at the end of the form.

*Will you require F&B.

(chars left: 150)

This answer is required for space allocation, however this is NOT your food and beverage order form. A separate order form will be necessary. If Yes, explain your F&B needs. (light or heavy reception, open bar, cash bar, etc.) If No, simply type No.

*Will you require Audio Visual?

(chars left: 150)

If Yes, explain your AV needs. (projector, Laptop, microphone, etc.) If No, simply type No.

*Function Type

*Number of Attendees

*Contact Name

*Contact Phone #

*Email Address

*City

*State

Additional Information

(chars left: 500)

Indicate additional details such as "By Invitation Only" or closed to the press.