CRCST Request for Presenters Form
Please complete this form if you are interested in presenting at the Cleveland Regional Council of Science Teachers Fall Conference on Saturday, October 19, 2019, at the Educational Service Center of Northeast Ohio.

Complete this form by September 1 for consideration. Please email any questions to Jeff Teeter (jpteeter@gmail.com). Thank you!
Name(s): *
Your answer
Email address(es): *
Your answer
School/Organization: *
Your answer
Contact Phone Number: *
Your answer
Title of Proposed Session: *
Your answer
Description: *
Your answer
Science/Topic Area: (check all that apply) *
Required
Intended Audience: (check all that apply) *
Required
Equipment/Space Requirements/Safety Concerns: (we will provide a display system with PC computer; you can bring a usb drive or your own computer to connect to a projector via hdmi or vga. Mac users will need to bring an appropriate dongle.)
Your answer
Safety Agreement: "I agree to follow all prudent and necessary safety precautions, as applicable, during my presentation." *
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