The American Physiological Society

The American Physiological Society

Meetings Department

9650 Rockville Pike ۠•Bethesda, Maryland20814-3991

Telephone: 301 634-7967 • Fax: 301-634-7264 • Email:

Experimental Biology 2014 Symposium Form

Deadline: By April5, 2013, email to Eric Lazartigues () for consideration for the EB 2013 meeting.

Organizers should consider multidisciplinary approaches (participation of other Sections) and the contribution by experimentation at multiple levels of investigation. What specific question does this symposium address? Are there two or more conflicting issues that warrant presentation and discussion? What does the session offer to the intended audience? Are future directions considered in the material to be presented? The symposium must be approved by the sponsoring section’s Joint Program Committee Representative (see last page).Please consider the inclusion of underrepresented minority groups (ethnicity, age, gender, etc) as well as researchers working in industry.

A.Title:

B.Chairperson(s) Information:

1.Chairperson’s Name(s):

Institution:

Complete mailing address:

Phone:

FAX:

Email:

 APS Member Check if participation has been confirmed.

2.Co-chairperson’s Name:

Institution:

Complete mailing address:

Phone:

FAX:

Email:

 APS Member Check if participation has been confirmed.

C.Abstract(up to 500 words):

D.Indicate most recent meeting or conference where work in this area was presented:

E.Projected attendance (check one):

 Less than 100 people 100-200 people 200-300 people

 300-400 people  400-500 people over 500 people

F.Presenters/Discussants*:

Maximum session length is 2 hours. Be sure to allow sufficient time for discussion. Spell-out presenter names: DO NOT USE INITIALS when listing participants and chairperson(s). Membership in the Society is not a requirement for speaker participation or travel reimbursement.YOU MUST PROVIDE THE COMPLETE MAILING AND EMAIL ADDRESS FOR EVERY PARTICIPANT OR THE PROPOSAL WILL BE RETURNED!

1. Speaker's Name:

Institution:

Department:

Address:

City/State/Zip/Country:

Phone:

Email:

Title of Presentation:

Time Allotment:

2.Speaker's Name:

Institution:

Department:

Address:

City/State/Zip/Country:

Phone:

Email:

Title of Presentation:

Time Allotment:

3.Speaker's Name:

Institution:

Department:

Address:

City/State/Zip/Country:

Phone:

Email:

Title of Presentation:

Time Allotment:

4.Speaker's Name:

Institution:

Department:

Address:

City/State/Zip/Country:

Phone:

Email:

Title of Presentation:

Time Allotment:

PLEASE NOTE:

Deadline: You must contact the sponsoring entity (section, group or committee listed below) to determine their internal deadline. Each sponsoring entity has their own mechanism for receiving, reviewing and approving proposals. Sponsoring entities provide completed forms to APS Headquarters Staff. DO NOT SUBMIT THIS FORM DIRECTLY TO APS HEADQUARTERS. SUBMIT IT TO THE JOINT PROGRAM REPRESENTATIVE OF THE SPONSORING ENTITY.

Each APS-funded symposium organizer will be allocated monies for use in the reimbursement of relevant travel expenses (airfare, per diem, housing, etc.) of invited speaker(s), both member and nonmember. The amount provided to each organizer from APS funds will not exceed $4,000. The allocation of funds will be at the discretion of the symposium organizer(s). The organizer may raise additional funds from outside sources. Invited speakers of APS (not guest society)-sponsored symposia will receive complimentary registration over-and-above the $4,000 allotment.

Membership in APS is not a requirement for speaker participation or travel reimbursement eligibility. Choose those speakers who are most appropriate scientifically.

Guest Society-sponsored symposia receive no funding through APS. Guest Society-sponsored speakers do not receive complimentary registration. Guest Society-sponsored symposium organizers must contact the headquarters office of the appropriate guest society to determine if any registration or travel reimbursement funds are available.

Please indicate the Section/Group that is sponsoring this symposium:

Animal Care Committee

Cardiovascular Section

Careers in Physiology Committee

Cell & General Physiology Section

Central Nervous System Section

Comparative & Evolutionary Physiology Section

Education Committee

Endocrinology & Metabolism Section

Environmental & Exercise Physiology Section

Epithelial Transport Group

Gastrointestinal & Liver Physiology Section

History of Physiology Group

Hypoxia Group

Liaison with Industry Committee

Muscle Biology Group

Neural Control Autonomic Regulation Section

Physiological Genomics Group

Public Affairs Committee

Publications Committee

Renal Section

Respiration Section

Teaching of Physiology Section

Trainee Advisory Committee

Translational Research Group

Water & Electrolyte Homeostasis Section

Guest Society:

Other (specify):

THIS SECTION MUST BE COMPLETED BY THE JOINT PROGRAM COMMITTEE REPRESENTATIVE OF THE SPONSORING ENTITY INDICATED ABOVE

Joint Program Committee Representative of the Neural Control & Autonomic Regulation Section approves this symposium for presentation at the Experimental Biology 2014 meeting in Boston, MA

Eric LAZARTIGUES

Name of JPC or Guest Society RepresentativeDate

EB14 Symposium Form.doc