NYSOEA 2017 Presenter Workshop Proposal Form
New York State Outdoor Education Association

49th Annual Conference
“Watershed Moments: Connecting to Our Natural World”
October 26-29, 2017
Clearpool Outdoor Education Center, Carmel, NY

Please return this form by May 30, 2017. If you have any questions please contact Phyllis Bock at pbock@teatown.org. Thanks for offering to share your time and skills with our 2017 NYSOEA Conference participants!

Name
Your answer
Address
Your answer
Phone Number (day and evening)
Your answer
Email Address
Your answer
Job Title/Affiliation
Your answer
Are you a member of NYSOEA?
Title Of Your Workshop
Your answer
Briefly describe your workshop (~100 words) as it should appear in the conference booklet.
Your answer
Check the preferred length of time for your workshop:
Check preferred day(s) of workshop:
Required
Location/setting for workshop:
Required
If you chose "Indoors", please explain your desired room set-up (flip chart, chairs, etc):
Your answer
In the event of rain, can you do your workshop indoors?
Do you require Wi-Fi? (Please note, we ask presenters to bring their own A/V equipment)
What is the maximum number of participants for this workshop?
Your answer
Is there a materials fee for participants? If yes, how much?
Your answer
Your intended audience is (check all that apply):
Required
If you selected "Other" for your intended audience, please specify:
Your answer
In which of the following strands should your workshop be listed (check all that apply)?
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Check all the subject areas addressed by your workshop:
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