Submit a Short Course Proposal

Short Course Title *

Course Length *

Course Level *

Course Size Limit

How Soon would you be available to teach this course? *

Availability Specification

Is there a date by which this course would need to be scheduled before the content would be irrelevant, or you would be unavailable to teach it?

Overview *

Format and Requirements *

Skills Covered *

First Name *

Last Name *

Email *

Credentials *

Affiliation *

Country

Any financial Disclosure *

Yes No

Financial Disclosure – Please Specify

I will email my headshot to info@smdm.org. I understand that if I do not, SMDM will use whatever headshot, at whatever quality, they are able to find online.

Yes No

I will email to info@smdm.org upon completion of this survey.

Yes No

I will email to info@smdm.org at some point in the future.

Yes No

I will take my chances with the headshot staff are able to find.

Yes No

Will you have additional faculty teaching?

Yes No

Submit a Short Course Proposal

Propose a Short Course