2. Speaker Information:
4. First Name:*
5. Last Name:*
7. Title:*
8. Email:*
10. Speaker Organization:*
12. We Provide:

    These items will be provided for you for use in presenting. If you require special or additional AV items please list them in the space below.

    1. Screen
    2. Data Projector
    3. Laptop
    4. Wireless Lavaliere Mircophone
14. Additional AV equipment needed:
16. Speaker Bio:*
    Please provide a short bio (150 words or less) which provides a summary of your professional experience. This will be used as a short introduction before your session.
18. Presentation:*

    1. I do not plan on using a PowerPoint (or other formatted) Presentation
    2. I will submit my presentation no later than Wed. May 29th to be pre-loaded onto laptop & to be uploaded to conference website for attendees to download.
    3. I will bring my presentation on a flash drive to be loaded onto laptop onsite & to be uploaded to conference website after the conference.
20. Handouts:
    Speakers are responsible for providing handouts for attendees. If you are presenting a workshop, plan for 50 copies. If you are presenting a general session, please plan for 100 copies.
22. Additional Notes...
    Is there anything else we need to know?
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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