Call for Presenters Application Form
Fall Industry Support Conference, September 19, 2017
Oregon Convention Center, Portland, Oregon
Primary-presenter Information
Lead contact for presentation content, communication, etc.
Name
Your answer
Job Title
Your answer
Organization
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Email
Your answer
Phone
Your answer
Primary Presenter Bio
100-word maximum
Your answer
Co-presenter Information
Anyone else joining you? Enter their information here
Co-presenter 1 - Name
Your answer
Co-presenter 1 - Email
Your answer
Co-presenter 2 - Name
Your answer
Co-presenter 2 - Email
Your answer
Other Co-Presenters?
Input additional presenters' name and email here. Please limit number of total session presenters to four.
Your answer
Co-Presenter Bios
100-word maximum for each bio
Your answer
Session Details
Presentation Format:
Required
My session fits best in this practitioner track:
Required
Session Title
Be specific, informative and descriptive. Titles may be changed by the program staff for clarity or brevity, if necessary.
Your answer
Brief Session Description
How your session will appear in the conference program - be sure it aligns with your content. Please limit to 80 words
Your answer
Detailed Session Description
This description will be used to evaluate and select your session. Please include: Learning objectives – What will participants learn? Participant outcomes – What will participants be able to do as a result of the session? Impacts – How will the content impact the industry?
Your answer
Technology/Supply Requests
Presenters must bring their own laptops and adaptive connection cables (if MAC or tablet) to connect to VGA-input projectors. Please be as specific as possible in this proposal stage. We will contact you to confirm your needs closer to the event date.
Submit completed presentation proposal by June 30, 2017
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