2019 Literacy for Life Workshop Presenter Form
Saturday, April 27
8am-4pm
TCNJ - The College of NJ
2000 Pennington Rd.
Ewing, NJ 08628
Email address *
First and Last Name *
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Address: *
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Phone Number (Day) *
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Phone Number (Evening)
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Email Address: *
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Affiliation: (affiliate, organization, firm): *
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Please provide a short biography (less than 100 words, please): *
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Co-Presenter First and Last name
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Co-Presenter Mailing Address
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Co-Presenter Phone Number (Day)
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Co-Presenter Phone Number (Evening)
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Co-Presenter Email Address
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Co-Presenter Affiliation (affiliate, organization, firm):
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Co-Presenter Biographical Information (less than 100 words, please):
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Workshop Title: *
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Workshop Abstract (max. 50 words. The abstract will be included in the program if your workshop is accepted): *
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Workshop Description (max. 250 words. Please include what types of hands-on, participator activities are included in your workshop. Your description helps us answer registrants' questions about program content when they contact us): *
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All workshops will be 1.5 hour sessions. Target Audience (Please check all that apply): *
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Please indicate if your workshop is suitable for: *
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Type of Session (Please check one): *
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Maximum number of participants? *
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Audio Visual Equipment (Please check all that apply): *
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Any other comments you wish to leave for us:
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