Connecticut Science Educators Annual Conference - Presenter Application 2018
Please fill out the information below to apply to present at this year's Connecticut Science Educators Annual Conference. Application deadline is Friday, June 1st. Please note that all presenters must register as participants by July 31st at the early bird conference rate of $115.

Thank you for your interest in presenting and we look forward to reviewing your application for inclusion in the conference program. Presenters will be notified of acceptance well before July 31, 2018.

Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
State *
Primary Email Address *
Your answer
Secondary Email Address
Your answer
Presenter Type (Please select your institution type and provide the name in the "other" column.) *
Required
School or Organization -This will be used on your name tag and the conference program. *
Your answer
Please provide a brief biography that includes your background and qualifications relevant to your presentation. Some of this information may be included in the conference program. *
Your answer
Will you have a co-presenter? *
Co-Presenter First Name
Your answer
Co-Presenter Last Name
Your answer
Co-Presenter Email Address
Your answer
Please select the session format that you would like to make from the following. More than one selection is possible. *
Required
Workshop Title *
Your answer
Description for Conference Program (50 word maximum) *
Your answer
Please provide additional information about your presentation. This detailed description WILL NOT appear in the conference program, but will be used to help the Program Committee evaluate your proposal. *
Your answer
List applicable NGSS core ideas, practices, and/or crosscutting concepts your presentation will address. *
Your answer
What practical benefits will attendees take away from your presentation session? Will there be any actual takeaways? Please specify the type. *
Your answer
Topic Area (check all that apply) *
Required
Workshop Level (please check all that apply) *
Required
Please specify if your presentation can only be done with a projector and screen. We need to know if this is an absolute requirement since a few of the conference rooms may not be set up with this technology. If you do require a projector, please bring your laptop computer and all necessary connectors for its use with the projector. *
Room Requirements: Please list all room requirements, including your preference for the layout of the room, technology needed and access to various materials. If you need access to water, please describe your requirements in detail. (With the move to a conference facility, we no longer have science labs, but access to water can be provided if we know the nature of your needs.) *
Your answer
Computers will not be provided to attendees (or presenters). Should the attendees at your presentation be encouraged to bring tablets or laptop computers to effectively participate in your session? *
Please explain any potential safety hazards. This includes bio-hazard details as well as those posed by any animals you will bring or use during your workshop. Also, provide a list of any reagents that will be used. *
Your answer
What precautions or safety equipment, if any, will you be using in your room? (All safety equipment must be provided by the presenter.) *
Your answer
I understand that the CSTA and its representatives will have the right to take photographs and/or video of me and my presentation materials for promotional purposes. *
Required
I understand that completing and submitting this application does not guarantee acceptance and that review by the CSTA Program Committee will determine which presentations will be accepted. *
Required
Thank you!
* If your proposal is accepted, all presenters will be required to fill out a safety contract and register for the conference as a participant. If accepted, your status as a presenter will be noted in the program and other conference materials.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms