Request ISPCAN Scientific Sponsorship

Request ISPCAN Scientific SponsorshipPragathi Tummala2020-02-04T18:59:34-07:00

Please use this form if you are interested in having ISPCAN be a scientific sponsor for your conference.

ISPCAN Scientific Sponsorship

Please use this form to summarize the International Congress that you wish ISPCAN to be a scientific co-chair. Once reviewed for completion, within 2 weeks you will receive feedback. Thank you!

Name of person preparing this Expression of Interest (EOI)*
First Last
Email*
Organization name*
City and Country*
Are you a current country partner of ISPCAN?*
If yes, please name your organization's primary contact*
First Last
Proposed conference date*
Proposed conference theme and at least 4 sub-themes*
Expected number of delegates
Targeted primary audience by discipline. Check all that apply.*
- NGO/Advocacy
- Education
- Government
- Medicine
- Nursing
- Law/Law enforcement
- Social Work
- Psychology
- Psychiatry
- Other
Targeted primary audience by region. Check all that apply.*
- Africa
- Asia
- North America
- Central America
- South America
- Western Europe
- Eastern Europe
- Middle East
- Oceania (Australia, New Zealand, etc.)
Proposed leadership of Local Organizing Conference Committee/Subcommittee.*
Below please provide names of 3 people from different organizations who have indicated they are willing to support the conference program in a leadership capacity.
Name
First Last
Organization name*
Email
Name
First Last
Organization name*
Email
Name
First Last
Organization name*
Email
Please list at least 3 sources of sponsorship and estimated amount of support for the conference*
(E.g., tourism agency, government health agency, business, or NGO)
Source 1 Source 2 Source 3
Would you provide ISPCAN a sponsored keynote spot in the conference?*
Would you provide ISPCAN memberships to your delegates as a ticket?*
Would you provide ISPCAN a role in helping to plan the conference agenda?*
Please check the boxes below that apply to you and your event:*
- Delegates from all countries will be welcome
- Professionals from all disciplines will be welcome
- You are a member of ISPCAN
Child Protection System*
Please describe the child protection system in your country or region. Are there laws against child abuse and neglect?
Website for the conference
Please upload any additional information you think would be useful to assess this conference
Drop files here or

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Source 1	Source 2	Source 3