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Please complete the online application and provide all requested materials
by end-of-day on
Monday, July 22, 2016.
Indicates required field
Preferred Phone Number
Who are you co-presenting with?
What is your presentation title?
Describe professional background and presentation experience. No more than 5 sentences.
What audio-visual equipment will you require for your presentation?
Flip chart with markers
LCD projector (I have one and can bring it)
LCD projector (I need one to be provided)
If you need a room set-up other than standard classroom/lecture style, please describe.
Please provide a brief professional bio as you would like it to appear in conference communications materials. Please limit bio to 150 words.
Please provide a headshot for each presenter for use in conference communications materials.
Max file size: 20MB
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