Request for Meeting Support Form-Non ACS

Meeting Support-NonACS

"*" indicates required fields

Title of Conference*

Date of Conference*

i.e. June 12-15, 2025

Location*

Building, Campus, City, State, Country

Website

List the website describing the upcoming conference. If there is not a website, please explain in the comments below.

Name of Organizing Chair/Requestor*

Prefix First Last

Email*

Phone number for the Organizer*

List of Speakers*

Name

Affiliation

ACS Number

DOC Members (Y/N)

Add one row for each speaker.

Diversity Statement*

Describe in 500 characters or less on how the selection of speakers will represent the Division's diverse population.

Additional Info/Comments for the Committee

Name

This field is for validation purposes and should be left unchanged.