Presenters Form
Thank you for your interest in Reaching Forward South.

Please fill out this form if you (our your group) would like to be a presenter at this years conference.

You will be contacted by the RFS committee about your application as soon as possible. If there are any questions concerning your application, a member of the planning committee will be in touch with the Lead Contact for the proposal.

Once you submit the form, you will received a confirmation of submission to the email used to complete the form.

Submissions are open until April 15, 2019.

If you have any questions, please contact RFS 2019 Chair - Ryan A. Franklin at 217-785-5615 or rfranklin@ilsos.net

Email address *
Program Title *
Your answer
In what category would your program fit? *
Program Description (to be used in all materials if this program is chosen) *
Your answer
Program Presenter 1 (Lead Contact): Full Name, Organization, Job Title, Email, and Phone Number *
Your answer
Presenter Bio 1 (to be used in all program materials if chosen) *
Your answer
Program Presenter 2: Full Name, Organization, Job Title, Email, and Phone Number
Your answer
Presenter Bio 2 (to be used in all program materials if chosen)
Your answer
Program Presenter 3: Full Name, Organization, Job Title, Email, and Phone Number
Your answer
Presenter Bio 3 (to be used in all program materials if chosen)
Your answer
Program Presenter 4: Full Name, Organization, Job Title, Email, and Phone Number
Your answer
Presenter Bio 4 (to be used in all program materials if chosen)
Your answer
Do you offer to host this program free of charge? *
A copy of your responses will be emailed to the address you provided.
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