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MAHPERD 2017 Conference - Call for Session Proposals
If you are interested in offering a session at the 2017 MAHPERD Conference, November 5, 6 & 7 at the Samoset Resort, please complete and submit the form by June 30, 2017 for consideration. If you have any questions, please contact the MAHPERD Executive Director, Kathy Wilbur at kathymwilbur@gmail.com.
Presenter Name(s)
Who will be presenting this session? If more than 1 presenter, please number each name.
Your answer
Presenter's Title
Enter your Professional Title. If more than 1 presenter, please use the numbering scheme from your first answer.
Your answer
Session Proposal
What is the proposed title of the session?
Your answer
Session Description
150 words maximum
Your answer
Who is the primary audience for this session?
Check all that apply.
Required
Preferred Presentation Day
Preferred Presentation Time
We try to accommodate the preferred time.
Please let us know if there is a date or time that you DEFINITELY cannot present.
Your answer
Are you (or any of the presenters) a current MAHPERD member?
School/Organization
Enter your affiliated school or organization AND town. If more than 1 presenter, please use the numbering scheme from your first answer.
Your answer
Presenter's Email Address
Enter the email address you would like us to use when contacting you. If more than 1 presenter, please use the numbering scheme from your first answer.
Your answer
Presenter's Cell/Home Phone Number
Enter the phone number you would like us to use if we need to contact you. If more than 1 presenter, please use the numbering scheme from your first answer.
Your answer
Have you (or the other presenters) presented a conference session before?
Where & When?
If you (or the other presenters) have presented workshop sessions before, please provide details.
Your answer
Is there additional information you think we need to know?
List additional information not covered with the questions above.
Your answer
Were you asked by a MAHPERD Board member to present?
If yes, please choose the name of the MAHPERD Board Member
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