2005 IVECCS

IVECCS MODERATOR APPLICATION

IVECCS needs Moderators again this year! Please consider volunteering to help us at IVECCS 2005. Serving as a Moderator is a way for you to be involved as well as playing a vital role in the symposium.

Requirements: Must be registered to attend the meeting as attendee, speaker or exhibitor and willing to moderate at least one (1) half-day session as designated
Duties: Manage the session by introducing the speaker, controlling the lights, sound, entry/exit of attendees, assisting with audiovisual needs of the speaker, etc.
Remuneration: Volunteers who moderate at least two (2) half-day blocks will be invited (along with his/her spouse/companion) to attend the Speaker and Moderator Reception Sponsored by Merial on Saturday evening September 10th.

Review the Program Schedule to select the sessions you would like to moderate. If you would like to volunteer to serve as an IVECCS 2005 Moderator, Please complete the following form and submit electronically (preferred) from this web page. You may also download the form and mail (retain a copy), or fax it to us. We will make every attempt to assign you to the dates/times and sessions you prefer. We will notify you of your schedule 3-4 weeks prior to IVECCS and details of Moderator Orientation meetings, which will be held at IVECCS at a time and room location to be announced later.

Thank You,
Gary L. Stamp, DVM, MS
Diplomate, ACVECC
Executive Director, VECCS

Salutation
Name
Home Address
City
State
Zip
Home Phone
Alternate Phone
Fax
Email
I am a
I am a current member of VECCS	Yes No
Check Days Available	Wed 7th Thur 8th Fri 9th Sat 10th Sun 11th
I volunteer to fill-in on short notice if contacted on-site	Yes No If you check yes, please provide a cell phone number
Preferred Dates/Times to Moderate. See Program grid for Course #s (Note that assignments will be made in half-day blocks)

1st Choice		Preferred Course #s
2nd Choice		Preferred Course #s
3rd Choice		Preferred Course #s
4th Choice		Preferred Course #s

Remember, Volunteers who moderate at least two (2) half-days will be invited to the Speaker/Moderator Reception.
See you in Atlanta!

6335 Camp Bullis Rd., Suite # 14, San Antonio, TX 78257 ph: 210-698-5575 fax: 210-698-7138 email: info@veccs.org