Program Proposal
2016 MN SHAPE Fall Conference

Program proposals are due May 31, 2016. All presenters must be members of MN SHAPE or another state organization. Please note that Honorariums will not be offered for the 2016 conference. For questions, please contact Amy Hinkemeyer at amyhinkemeyer1@gmail.com or 701-200-6302.
Name *
Mailing Address *
City *
State *
Zip *
Phone Number *
Email *
Summer Email
Brief Biography *
Title of Presentation *
Brief Description of Presentation *
Room Preference *
Preferred Audience
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