Workshop Presenter Application

Please input your information into the fields below

* indicates required field.

Complete all applicable fields. Do not use ALL CAPS.

You may submit up to three (3) presentations on this form for approval.

If you have already submitted three presentations click here to clear the form cache so you can submit others.

Applications will not be reviewed until early Summer 2012. You can expect to hear from our offices by then with a decision.

Be advised - if you represent a business, offer a service, or sell books/supplies, in order to present a workshop you MUST purchase an exhibit booth.

Presenter Information

First Name*

Last Name*

City, State*

Phone* (at which you can best be reached)

E-mail Address* (use one most often checked)

Years of Educational Experience*

Biographical Sketch* (50 words or less - write in third person)

School/Organization Name*

Additional Presenter (input all info into the box below)

Presentation #1

Presentation #1 Title* (10 words or less)

Presentation #1 Description* (50 words or less)

Presentation #1 Track* (Check all that apply)

General

Early Education

Elementary

Secondary

Administrative

Ministry Leadership

Fine Arts

Athletics

Technology

Library/Media

Presentation #1 Subject Area* (if applicable - check all that apply)

Bible

English/Language Arts

Mathematics

History/Geography/Social Studies

Science

Reading

Other

Presentation #2

Presentation #2 Title (10 words or less)

Presentation #2 Description (50 words or less)

Presentation #2 Track (check all that apply)

General

Early Education

Elementary

Secondary

Administrative

Ministry Leadership

Fine Arts

Athletic

Technology

Library/Media

Presentation #2 Subject Area (if applicable)

Bible

English/Language Arts

Mathematics

History/Geography/Social Studies

Science

Reading

Other

Presentation #3

Presentation #3 Title (10 words or less)

Presentation #3 Description (50 words or less)

Presentation #3 Track (check all that apply)

General

Early Education

Elementary

Secondary

Administrative

Ministry Leadership

Fine Arts

Athletics

Technology

Library/Media

Presentation #3 Subject Area (if applicable)

Bible

English/Language Arts

Mathematics

History/Geography/Social Studies

Science

Reading

Other

I require tables for my attendees to use in my workshop session

Statement of Agreement: inital each below

I understand that submission of this form does not guarantee my workshop will be scheduled.

I understand that if my workshop is scheduled, if I must cancel - I will do so at least 30 days before the event.

I understand that if I use the workshop primarily to advertise or sell a product or service, I will not receive an honorarium.

I understand that if I wish to project a presentation, I must provide my own computer and projector.

I understand that my workshop will be recorded and will be made available in CD and MP3 format for delegates who could not attend your workshop. May we record your workshop?

Click below to send. If nothing happens and you do not receive a confirmation splash screen and an immediate e-mail with your submission, scroll to the top of the page and look for un-filled required fields listed in red. Complete the fields, try again.

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