Kansas City 2018 NMRA Convention - Clinic Request Form
We want to hear about your clinic! Use this form to provide clinic information and contact details.
After we have a chance to review your information, we will get in touch with you to discuss your clinic.
CLINIC INFORMATION
First, let's get some general information about your clinic
What is the title or topic of your clinic?
*
Clinic Description
*
Please provide a short description of your clinic (for potential use on the web site or convention timetable). Be as descriptive as you'd like!
Clinic Category
*
Help us categorize your clinic (for sorting and inclusion in the timetable)
Cars
Layout Design
Operations
Structures
Scenery
DCC/LCC
Railroad History
Layout Electronics/Animation
AP Program (Modeling With the Masters)
SIGs or other meetings
Non-rail
Other
CONTACT INFORMATION
Next, let's get some information about how to contact you
Clinician Name
*
What person or persons will be giving the clinic?
Organization
If you are affiliated with an organization or business
email
*
Address/City/State/Zip
Phone Number
*
We need this to get in touch with you.
Web Site URL
if any
CLINIC PREFERENCES AND NEEDS
Next, let's get some specific information about what you want or need to be happy about giving your clinic
Day of the Week
Do you have a preference for the day of the week to give your clinic (we will attempt to accomodate this, if possible).
No preference
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Other (add detail in notes)
Would you be willing to present your clinic more than once during the convention?
Yes
No
Maybe
AV Needs
Considering that there will the usual PC, video project, and screen, do you require an special equipment or facilities for your presentation?
Yes (add details in comment section below)
No
Maybe/unknown
What room capacity do you anticipate?
I have no idea
Small
Medium
Large
Stadium
Clinic Skill Level
What is the general "skill level" of the topic covered in your clinic? This is intended to help the potential clinic attendee understand the depth or complexity of the topic covered in the clinic.
Beginner
Intermediate
Expert
All ranges
COMMENTS/ADDITIONAL INFORMATION
Use this space to provide additional details or comments to help us understand why your clinic is awesome
Comments and other information
Use this section to provide any additional information that you think will be useful to the convention clinic committee
Send me a copy of my responses
Email address
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