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EYF Speaker Registration
EYF: March 5, 2022
Emporia State University
Speaker Registration Deadline: November 5, 2021
Questions? Contact Holly Hollenbeck at:
hhollenb@emporia.edu
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* Indicates required question
First Name
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Your answer
Last Name
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Your answer
Company/University
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Your answer
Address
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Your answer
Phone number
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Your answer
Email
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Your answer
T-shirt size
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S
M
L
XL
XXL
XXXL
What sessions are you able to speak at? (Check all that apply.)
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1 Career session (morning session, 20 minutes)
2 Career sessions (morning session, 20 minutes)
3 Career sessions (morning session, 20 minutes)
1 Workshop (afternoon session, 45 minutes)
2 Workshops (afternoon session, 45 minutes)
Required
Title of your Career Discussion and a short description about it.
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Your answer
Title of your Workshop and a short description about it.
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Your answer
Please list any supplies you need us to provide for you session(s). Please include quantities/amount, SMART classrooms, tables, electrical outlets, etc.
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Your answer
Will you need us to make photocopies for your session? Please submit your file to be copied to Holly (
hhollenb@emporia.edu
) by February 23rd.
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Yes
No
Will you need any students to help you in your sessions
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Yes, one
Yes, two
No
Will you be joining us for lunch? Please include yourself and any co-presenters in your answer.
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Yes, one
Yes, two
Yes, three
Yes, four
No
Will you have any Co-presenters? If so, please list their name(s) and t-shirt size(s).
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Your answer
Anything else you need to let us know about?
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Your answer
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