AMTNJ ANNUAL TWO-DAY SPEAKER PROPOSAL 2019
Engage, Explore, Empower!

October 25-26, 2019 at Crowne Plaza Princeton - Conference Center

Session Type:

Workshop (90 minutes)
Workshop (60 minutes)
General Session (90 minutes)
General Session (60 minutes)
Three Hour Mini-Course (180 minutes)
Burst (30 minutes)

Submission Deadline: May 10, 2019.

If you would like to revise your submission, you may do so prior to the May 10th deadline. Please re-submit your proposal and note that it was a revision in the "Additional Notes" Section at the end of the form.

If you wish to submit additional proposals, please indicate that it is an additional proposal in the notes. Also, if you submit more than one proposal, please indicate how many total sessions you are willing to present.

ELECTRONIC SUBMISSIONS ONLY

If you have any questions, please contact Jelena Komitas, Program Chair, at lenakomitas2@gmail.com.

Please note: After the development of the master schedule, no changes of workshops will be possible.

Email address *
Print Email Address(es) in Program. (This pertains to all speakers and co-speakers.) *
First Name *
Your answer
Last Name *
Your answer
Middle Initial
Your answer
Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Preferred Phone Number *
Your answer
Alternative Phone Number
Your answer
Affiliation *
Please list the one affiliation that you would like listed in the program and on your name badge.
Your answer
Friday, October 25, 2019 *
What is your availability on this day?
Required
Twitter
Provide ONLY if you would like it to be printed in the program.
Your answer
Saturday, October 26, 2019 *
What is your availability on this day?
Required
Descriptive Title of Presentation *
Maximum Length of Title is 10 Words
Your answer
Description of Presentation *
Maximum Length of Description is 50 Words. If your proposal is accepted and your description is longer than 50 words, it may be edited.
Your answer
Primary Audience Grade Band *
Check if primarily targeted
Required
Type of Session *
Please check off all acceptable formats
Required
Room Layout *
Please select your choice of acceptable room layouts. Most rooms will be designed with Table Rounds, so please indicate "Theater Style" if you absolutely do not want Table Rounds.
Equipment Needs *
Please select all that apply. We are not able to supply laptops. If you are using a Mac Computer, you will need to supply your own adaptor ("dongle").
Required
Co-speaker Name
A maximum of one co-speaker will be accepted. Additional co-speakers will need to register as attendees.
Your answer
Co-Speaker Email Address
Your answer
Co-Speaker Affiliation
Your answer
Co-Speaker Twitter
Provide ONLY if you would like it to be printed in the program.
Your answer
May we post an electronic version of your session on our website? *
Are you willing to provide AMTNJ with a submission for electronic posting of your session?
Are you willing to have your session video-recorded for future AMTNJ use? *
There is a possibility that some sessions may be video-recorded. If you are willing to let AMTNJ record your presentation, please select "Yes". If not, please select, "No". If you are willing to allow AMTNJ to record with limited use, please select "Other" and indicate your restrictions.
Additional Notes
Please add any additional information that you think that we would need to know.
Your answer
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