2020 Michigan POHI/SXI Conference Presentation Proposal Form
Please complete this Presenter Form to submit your proposal by Friday, May 1, 2020. The conference is Thursday and Friday, October 29 and 30, 2020 in Traverse City, Michigan at the Traverse Bay Intermediate School District. Please see the Presenter Rubric: https://docs.google.com/document/d/1XmpLpBcX5I3Trp0prWQe7PRmwcJi34EhMS-bXE685FY/edit?usp=sharing
Primary Presenter Information
This is the Primary contact person, that will communicate with the POHI/SXI Committee.
First Name *
Your answer
Last Name *
Your answer
Position Title *
Your answer
School/Organization Affiliation *
Your answer
Work Address/City/State/Zip Code *
Your answer
Cell Phone Number *
Your answer
Email *
Your answer
Additional Presenters
Presenter # 2
Presenter #2 First Name
Your answer
Presenter #2 Last Name
Your answer
Presenter #2 Title/position
Your answer
Presenter #2 School district/ other affliations
Your answer
Presenter #2 Work address (street/city/state/zip code)
Your answer
Presenter #2 Cell phone number
Your answer
Presenter #2 current email
Your answer
If you have more than 2 presenters please list their name, title, and affiliations below
Your answer
Presentation
Presentation Title Name *
Your answer
Description of Presentation
Please include 3 objectives and an overview of the presentation.
Presentation Description *
Your answer
Please provide 3 Learning Objectives that your attendees will take away. *
Your answer
Length of presentation *
Presentation Format *
Are you able to present your presentation multiple times during this conference? *
Presentations are considered contributions to the field of education and therapy. Please check below that you understand you are contributing to the betterment of our fields. *
Required
The POHI/SXI Conference would like Poster Presentations as displays in the Vendor area. Do you have a Poster Presentation to share? *
Any recommendations for other Presenters?
Your answer
Look for an email regarding your presentation acceptance in June 2020. Please visit our web site for Conference information.
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