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
Green Chimneys Clearpool Campus, Carmel, NY

Please return this form by June 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
Your answer
Email Address
Your answer
Title/Affiliation
Your answer
Are you a member of NYSOEA?
Required
Workshop Title
Your answer
Briefly describe your workshop (~ 100 words) as it should appear in the conference booklet
Your answer
Preferred Length
Preferred Day
Location/Setting
Required
If you chose "Indoors", please explain your desired room set-up (flip chart, chairs, etc):
Your answer
In the event of inclement weather, can you do it indoors?
Do you require Wi-Fi? (PLEASE NOTE: We ask presenters to bring their own A/V equipment)
Maximum number of participants
Your answer
Is there a materials fee? If yes, how much?
Your answer
Intended Audience (check all that apply)
Required
If you selected "Other" for your intended audience, please specify:
Your answer
In which strand(s) should your workshop be listed?
Required
Check all the subject areas addressed by your workshop:
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