WALA Call for Presenters 2019
March 21-23, 2019

Suncadia Lodge

Cle Elum, WA

If you would like to be considered as a presenter, please complete this form and
return it no later than January 19, 2019.

Email address *
Primary Presenter Last Name *
Your answer
Primary Presenter First Name *
Your answer
Position/Title *
Your answer
School/Organization *
Your answer
What types of courses do you offer? *
Required
District *
Your answer
Region *
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell or Home Phone *
Your answer
Work Phone *
Your answer
Strand that your presentation will focus on: *
Required
If you chose Core Academic Subject Area above, which subject area/topic:
Your answer
Presentation Description for Conference Program (50 WORD MAX - longer descriptions will be edited): *
Your answer
Primary Presenter Bio (50-75 words): *
Your answer
Team Member #1 Last Name *
Your answer
Team Member #1 First Name *
Your answer
Team Member #2 Last Name
Your answer
Team Member #2 First Name
Your answer
Team Member #3 Last Name
Your answer
Team Member #3 First Name
Your answer
If asked, would you be willing to repeat your session? *
Target Audience: *
Required
Target Course Type/Model: *
Required
AV Equipment Needs (WALA cannot provide projectors or copies of handouts):
Presentation Description (Enter description and outline. Limit to 100 word or less. To be used for the selection of presentations and placement: *
Your answer
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