Calendar Submission Form

Type Of Event*
- BIAC Organized Event
- Community Partner Organized Event
- BIPN Meeting
Intended Audience*
Select all that apply
- Survivors
- Caregivers/Family/Friends
- Professionals
Event Title*
Event Start Date*
MM slash DD slash YYYY
Event End Date*
MM slash DD slash YYYY
Event Start Time*

: Hours

Minutes

AM/PM
Event End Time*

: Hours

Minutes

AM/PM
Event Location*
Please provide an address if this is an in-person event. If this is a web-based event, please provide a URL for the event.
Cost per person (if any)
Event Description*
Registration Link / Website
Number of CEs/CEUs Offered, if applicable
Point of Contact for Event*
In case BIAC needs to follow up with any questions
First Name Last Name
Point of Contact Email*
Would you like the above name and email on the calendar?*
- Yes
- No