IWC Discusser
Confirmation Form

Discusser Paper Template

Please confirm that you have reviewed the Discusser Guidelines and the Discusser Calendar*
- I have reviewed the items
Will you be able to discuss your assigned paper at the IWC, November 7-11, 2021 in Scottsdale, AZ?
- Yes, I will be able to attend and discuss the paper.
- No, I regret that I will not be able to attend.
Name
First Last Suffix/Professional Designation (i.e.; Jr., P.E., etc.)
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Author Name of Paper you will be discussing
Paper Number and/or Paper Title you will be discussing
Bio Information
Number of years with current employer
Job Title
Please list responsibilities
Please list previous employers
Post-Secondary Degrees & Institution and/or Professional Designations
25 - 50 Word Personal Bio

Engineers' Society of Western Pennsylvania