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* Personal Email
* First Name
* Last Name
School/Business Name
School/Business Address
Home Address
* Personal Phone 1
* Contact Phone 2
* Program Title (10 words or less)
* Program Description (100 words or less)
Supervisor Name
Supervisor Email
Notes

Add all speakers of the presentation. Simply fill in the information and click on ADD. The presenters will show up at the right box.

When you are done, click Next

Add Speakers
Email
First Name
Last Name
School Name
School Address
Home Address
Contact Phone #1
Contact Phone #2
List all presenters for this program, by default the information on the firt tab will be added automatically.

Select a single category that you feel this presentation would belong under. Then select all age groups that this presentation would apply toward.

When you are done, click Next

Age Group (Select one age group that best applies.)
Pre-5
6-8
9-12
College
Adults

Select the length of the session and also the desired times for the session.

When you are done, click Next

There are a limited number of two hour sessions available. If you'd like to be considered for a double session, please email bhjelm118@gmail.com.

Desired Day(s)
Thursday
Friday
Does Not Matter

Select the type of session and also the suggested space requirement.

When you are done, click Next

Are you an exhibitor who is renting booth space?

Space Requirements
Lecture Setting
Large Open Area for audience participation(Gym/Ballroom)
Pool
Dance Floor
Interactive Computer
Round Tables for Discussion
Special (set-up/requirements/accommodations for mobility impaired)

Select if students will be brought to the session and if there are any needs of the students.

When you are done, click Next

Students
YES   
NO
Students Needs
YES   
NO

You have completed the presentation form. You may click on any of the tabs up top to go back and change information at this time if needed.

If you are done, click SUBMIT and this form will be registered and a copy will be emailed to the address you provided in the General section of this form.

Thank you for offering your professional skills to the convention. Someone will get back to you about the status of your presentation.

If you ever have any questions pertaining to your presentation, please email cbeese@northbrook28.net