Conference Name *:

Conference Acronym:

(Requested) Location:

Event format? * online hybrid in-person

City *:

State/International Province:

Country *:

(Requested) Event Dates:

Start Date *:

End Date *:

Final Number of Attendees at previous meeting (if one in a series):

Estimated Number of Attendees (Regular and Students):

Conference Web site:

Estimated Number of Exhibits (if applicable):

Expected number of presentations (contributed, invited, plenary, tutorial, poster, etc):

Will English be an accepted language for presentations at this meeting? * Yes No

What other language(s) will presentations be given in during the conference?

Contact Name *:

Affiliation:

Street Address:

Suite #:

City:

State/International Province:

Country:

Zip Code/Postal Code:

Phone:

Fax:

E-mail *:

Conference Chairman (if different)

List program committee chairs/members with affiliation (The Optica Meetings Council recommends at a committee of at least 15 members from diverse institutions and countries to increase exposure for the meeting.) *

As endorsement criteria, we request that you include a designated Optica member to serve on your meeting’s program committee. Please suggest an Optica Representative that will serve in this capacity: *

List invited speakers with affiliation, please note which speakers have been confirmed *

List other societies co-sponsoring or cooperating on this meeting, if any. Please note which have been confirmed and which have been invited.

List meeting scope (topics) to be covered *

Please explain how you plan to include people of diverse cultures, backgrounds, and experiences. *

Is this conference one in a series of conferences? * Yes No

If so, please attach a final report and attendee list from the previous meeting (.pdf, .doc, .docx, .xls, .xlsx and .zip files are accepted)

Has Optica supported this conference before? * Yes No

If so, list the type of support (financial or endorsement only)

Has Optica supported other conferences organized by the same institution and essentially similar organizing committee? * Yes No

If so, list the type of support (financial or endorsement only)

The next (and final) page will ask you to identify the technical groups that are relevant to the scope of your meeting. If you would like more information before proceeding, go to the Technical Groups page, for a listing and scope of each. In addition, you will be asked to confirm the type of support you are requesting. Based on your request, some additional questions may be asked to add clarity.

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