Resonate 2016 Presenter Application Form
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First Name *
Last Name *
School/University *
Email Address *
Mailing Address *
Grades/Levels you teach *
Will you be presenting with another person? *
If yes, please list the name of the co-presenter
Email address of co-presenter
Mailing Address of co-presenter
Biography of co-presenter
Workshop Title *
Workshop Description *
Group your workshop is geared towards *
Please select all that apply
How many people can your workshop accommodate? *
Does your workshop require a demonstration group? If yes how many people are in that group? *
This helps us assigning the proper room/space for each workshop. Please note that Resonate 2016/MSIC does not cover the costs of having a demonstration group participate (lunch, travel, etc)
What equipment is required for your presentation? *
Instruments, projectors, ipads, etc
Focus Area of Workshop *
Please check all that apply
Please provide TWO references *
Reference One: name, address, email, phone number
Please provide TWO references *
Reference Two: name, address, email, phone number
I certify that all above information is correct, truthful and completed to the best of my ability *
Thank you for your submission. Applications will be reviewed and all applicants will be contacted by the end of April.
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