Joint Mathematics Meeting Panel Request Form

Abstract (To appear in the program): (150 words or less)

Organizer(s):names(s) and affiliation(s)

Organizer(s) Complete Address (postal, e-mail, telephone, and fax)

Panelists/Participants: names(s) and affiliation(s)

Sponsoring MAA Committee, SIGMAA, or Group:

Preferred Afternoon (Day #1; Day #2; Day #3; Day #4):

First Choice:

Second Choice:

Third Choice:

Conflicts to Avoid:
(Note that committee meetings are scheduled in October)

AV Equipment Required:
(besides the standard overhead projector and screen.  Note the MAA cannot guarantee that additional equipment will be available.)

Other information you wish the committee to consider:

Panel or Poster Sessions in last three years:
(If any of the organizers have participated in organizing a panel or poster session in the last three years either at the Joint Meetings or Mathfest, list the meeting, session title and an approximation for the attendance at the session.)