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APICES Application for Host Institutions

Please answer the questions below to the best of your ability. For additional information, contact Development Coordinator Suzanne Riger at sriger@aae.org
General Institutional Information
Institution name:
 
Academic supervisor name:
 
Academic supervisor title:
 
Total number of residents in the endodontic program:
 
Number of residents who would serve on the planning committee:
 
Potential dates or date ranges for the meeting:
 
Have residents at your institution attended APICES previously?
 
Meeting Facilities
Type of sleeping rooms:
Dormitory
Hotel
Other
If "Other" please specify:
Maximum number of sleeping rooms available:
 
Maximum seating in lecture hall:
 
Maximum number of exhibitors that facilities can accommodate:
Provide a brief description of the sleeping rooms, or send relevant informational materials to sriger@aae.org
Resources
Are university staff available to assist residents with meeting planning?
 
If "Yes", please provide their professional titles:
Will administrative reimbursement be required for these services?:
 
If "Yes", please provide an amount or range of funding:
Please indicate which of these services would be available to the planning committee:
Meeting planning
Clerical support
Web site design/maintenance
Graphic design
Audio/visual support
Staff support for registration
Staff support during the meeting
Printing services
Please provide a summary of why your institution and would like to host APICES. Outline why you believe your site is a good location for the event and describe any special features or activities that your institution could offer.