Presenter Proposal

First Name*
Please include your first name (non alpha characters are not accepted)

Last Name*
Please include your last name (non alpha characters are not accepted)

Job Title
Invalid Input

Email Address*
Please include an email address

Best phone number to contact you*
Please enter a phone number in the format 555-555-5555

Address:
Street*
Please include your address

Street 2 (Optional)
Invalid Input

City*
Please include your city

State*
Invalid Input

Zip Code*
Please enter your zip code

Bio (35 words or less, to appear in program book)*
Please let us know your message.

 
Will you have a co-presenter*
Invalid Input

Please enter your Co-Presenter's Information
First Name*
Please include a first name (non alpha characters are not accepted)

Last Name*
Please include a last name (non alpha characters are not accepted)

Job Title
Invalid Input

Email Address*
Please include your email address

Best phone number to contact you
Please enter a phone number in the format 555-555-5555

Address:
Street*
Please include your address

Street 2 (Optional)
Invalid Input

City*
Please include your city

State*
Invalid Input

Zip Code*
Please enter your zip code

Bio (35 words or less, to appear in program book)*
Please let us know your message.

 
Name of Workshop, to appear in the program book (70 character limit)*
Please provide a workshop name

Has this presentation been offered before?*
Please select one.

To what organization/venue?*
Please enter an organization or venue.

When?
Month*
Invalid Input

Year*
Invalid Input

Short Description of your workshop, to appear in the program book (50 words or less. Please include any special requirements participants will need to participate such as a laptop)*
Please include a short description

Longer description of workshop, for selection process (300 words or less)*
Please provide a full description of your workshop

Educators of grade(s)*
Invalid Input

Presentation Format (select all that apply)*
Invalid Input

Related Strand (select all that apply)*

Invalid Input

Explain*
Invalid Input

Workshop Setup*
Please select a setup

Describe any special needs you may have for the room set up
Invalid Input

AV Needs*
Invalid Input

Handouts (those provided in advance will be posted electronically 2 weeks before the conference)*

Invalid Input

Upload my handout*
Invalid Input

Please list the names of local newspapers, blogs, web sites, etc. for publicity purposes
Invalid Input

 

First Name: .

Last Name: .

Job Title: .

Email Address: .

Best phone number to contact you: .

Address:

Street: .

Street 2 (Optional): .

City: .

State: .

Zip Code: .

Bio (35 words or less, to appear in program book) : .

Will you have a co-presenter: .

Co-presenter Information:

First Name: .

Last Name: .

Job Title: .

Email Address: .

Best phone number to contact you: .

Address:

Street: .

Street 2 (Optional): .

City: .

State: .

Zip Code: .

Bio (35 words or less, to appear in program book): .

Name of Workshop, to appear in the program book (70 character limit): .

Has this workshop been offered before: .

When: . .

Short Description of your workshop, to appear in the program book (50 words or less. Please include any special requirements participants will need to participate such as a laptop): .

Longer description of workshop, for selection process (300 words or less): .

Workshop for educators of grade(s): .

Presentation Format (select all that apply): .

Related Strand (select all that apply): .

Other Strand(s): .

Workshop Setup: .

Special Needs for Room Setup: .

AV Needs: .

Handouts (those provided in advance will be posted electronically 2 weeks before the conference): .

Local Publicity Recommendations: .

*
Invalid Input