• Skip to primary navigation
  • Skip to main content
  • Skip to footer
The Association for Surgical Education

The Association for Surgical Education

Impacting Surgical Education Globally

  • About
    • By-Laws
    • Contact the ASE
    • Leadership
    • Past Presidents
    • Standing Committees
    • Global Surgical Education-Journal of the ASE
    • ASE Strategic Plan 2023-2026
  • Join!
  • Meeting
    • Annual Meeting Information
    • ASE Fall Meeting & Courses
    • Call For Abstracts
      • Scientific Sessions
      • Candlelight Session
      • ASE Pre-Meeting Course Proposal
      • Shark Tank: Multi-Institutional Research Submissions
      • Thinking Out of the Box
      • Workshop and Panel Submissions
    • Industry
      • Exhibits
      • Commercial Promotional Opportunities
    • Institutional Members & Sponsors
    • Meetings Archives
    • Media Gallery
  • Awards
    • ASE/APDS: Collaborative Grant Initiative
    • ASE DEI Underrepresented in Medicine (URiM) Scholarship Application
    • Education Awards
    • Shark Tank: Multi-Institutional Research Grant
  • Programs
    • 2025-2026 Association for Surgical Education Curriculum in Education Innovation and Teaching (ASCENT)
    • Academy of Clerkship Directors
    • Academic Program Administrator Certification in Surgery
    • Ethics of Surgery Fellowship (EthoS)
    • Surgeon Empowerment Leadership Fellowship (SELF 2.0)
    • Surgical Education Research Fellowship (SERF)
      • Surgical Education Research Fellowship Graduates
  • Foundation
    • Donate Now!
    • Foundation Board
    • The ASE Foundation: Building for the Future – Donors
    • Deb DaRosa Scholarship Application
    • Dr. Debra DaRosa Career Development Scholarship – Donors
    • Patricia Numann, MD, FACS, Scholarship for LMIC Surgical Educators
    • CESERT Pyramid Grant Application
    • Spotlight on CESERT Pyramid Grant Awardees!
    • Newsletter
    • Annual Report
    • Review Committee
    • Grants Awarded
    • Corporate Partners
  • Resources
    • Policy for Conducting Survey Research of ASE Members
    • Surgical Education Research Webinar Series
    • Podcasts
    • ASE CoSEF Peer Engagement for Education Research Success Webinar Series
  • ATLAS
  • Donate
  • Login

ASE Moderator Interest Form

Please complete the form below to let us know you are interested in moderating a session at the ASE Annual Meeting! Please note that completion of this form does not automatically mean that you will be invited to moderate; we will follow up with you in the coming weeks with formal next steps. Registration to the ASE Annual Meeting and in person attendance is required to participate. 

Keep in mind that the more date/time options you select for your availability below, the more likely you are to be selected to moderate! Deadline to submit your name is Friday, January 9, 2026. 

If you have any questions or concerns, please email Lorena Gonzalez at meetings@surgicaleducation.com

ASE Moderator Interest Form

Name(Required)
Please Select One:(Required)
Are you planning on attending ASE 2026 in Atlanta next April?(Required)
*Moderator sessions are in person only
Are you a member of the ASE?(Required)
*ASE membership is required to participate
What ASE committee are you currently a member of? (Check all that apply)(Required)
Please select when you are available to moderate (Check all that apply)(Required)
Area of Expertise (Check all that apply)(Required)

Footer

Contact Us

Association for Surgical Education
15821 Ventura Blvd Ste 400
Encino, CA 91436

Tel: 310-215-1226
Email: info@surgicaleducation.com

  • LinkedIn
  • Twitter

Advanced Training in Laparoscopic Suturing

The Official Journal of the Association for Surgical Education

  • Twitter