SCSC Wellness Presentation Request
Please complete the form to request Hannah Keltgen as a presenter for your organization, and remember that an attendance sign-up is required.
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Email *
Organization Name *
Contact Full Name *
Contact Phone Number *
Preferred Session(s) *
Required
Presentation Options – To keep things simple and effective, presentations should be either fully in person or fully virtual—not a mix of both.   *
Location Address & Parking Information *
Door Name/Number to Enter
Room Name or Conference #
Preferred Date(s) & Time(s) [Max of three choices] *
Attendee Information

Provide the number of attendees, along with an attendance sign-up (meeting invite or survey). An email with the final count of participants must be sent to me (hkeltgen@mnscsc.org) at least 5 days prior to the event.
Number of Attendees *
Attendance Sign up (Invite/Survey Link)  *
Additional Requests or Notes
A copy of your responses will be emailed to the address you provided.
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