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ACPA Discussion Forum Submission Form

ACPA discussion forums are non-CE online events in which attendees have the opportunity to learn, network, and discuss a specific topic. If you are interested in leading a discussion forum, please enter the information below.
1. Please enter your information below.
This question requires a valid email address.
2. Please indicate which type of discussion forum you would like to lead. *This question is required.
4. Are you a current member of ACPA? *This question is required.
4. Please indicate if you or a family member are affected by a cleft/craniofacial difference. *This question is required.
6. Is there someone else who will lead this forum with you?
7. Are they a member of ACPA?
7. Please check all months you are available to lead the forum within the next year. *This question is required.
8. Check all days of the week you are available to lead the forum. *This question is required.
9. Using Eastern Time, check all times of day you are available to lead the forum. *This question is required.