Proposal form for a SIAM-run conference or workshop

This form is for a conference or workshop in North America that is not a regularly scheduled SIAG meeting.

Complete and e-mail proposal form to Richard Moore, moore@siam.org, Director of Programs and Services.
 

1.	This proposal is for a conference: _____  or a workshop: _____ (please check one)

2.	Name of proposed meeting:  ___________________________________

3.	Proposed dates: ___________________  Number of meeting days: _____ 

4.	Estimated attendance: _________________

5.	Proposed location:  ___________________________________________

6.	Frequency of proposed meeting:         
	Annual ____                       Biennial ____         One-Time Only _____
	(Approval of the proposed meeting does not imply approval for future meetings.)

7.	Proposed meeting themes:

8.	Targeted audience:

9.	Explain the scientific rational, need, and timeliness of the proposed meeting:

10.	How does the proposed meeting differ from similar meetings in the field?

11.	Is the proposed meeting new for SIAM?  Yes ____  No ____

        a.  If Yes, explain the scientific need for this proposed meeting, why this meeting is of interest to 
        SIAM members, and why SIAM is the appropriate organization to run this proposed meeting. 

        b.  If No, explain how the scientific program for this proposed meeting will differ from previous meetings.

12.	Are any SIAM Activity Groups (SIAGs) involved in the proposed meeting?  Yes:___ No: ____   
            If yes, please list the SIAG(s): ________________

13.	List organizations, other than SIAM, or companies you plan to contact for sponsorship or funding support.

14.	Proposed meeting chair(s):

15.	Possible members of the organizing committee (do not issue invitations until the meeting has been approved by SIAM.):

16.	Possible invited speakers (do not issue invitations until the meeting has been approved by SIAM.):