2019 LATM / LSTA Short Course (Extended Session) Proposal Form

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SHORT COURSES (EXTENDED SESSIONS) are scheduled to be held on MONDAY, NOVEMBER 4, 2019 from 8:30a.m. - 11:30a.m.

This form should be completed by an individual submitting a proposal to deliver a 3-hour SHORT COURSE to be held on MONDAY, NOVEMBER 4, 2019. The conference program allows for each SHORT COURSE to have a maximum of 3 names listed as the presenters: the Lead Presenter followed by at most two Co-Presenters. Co-Presenter information must be entered at the bottom of this form.

Proposals must be submitted via this online form by June 14, 2019. Please note that this deadline is earlier than the deadline for One-Hour Regular Presentations due to the fact that Extended Sessions MUST be advertised in advance of the conference.

The Presenter and Co-Presenter(s) listed in this proposal must be registered for the conference by the Early Bird Deadline.

You may indicate a preferred time to deliver your session but it is unlikely that all requests can be honored. The program chairs reserve the right to assign different time slots with the intent of providing the most balanced program possible.

*** Due to the limited options available at this time, after submitting the proposal form it will be necessary for you to scroll upward to view the message that confirms the form has been recorded.

If there are any concerns or questions about this process, please contact Maribeth Holzer, latm.lsta.extsessions@gmail.com.

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SHORT COURSE (EXTENDED SESSION) PROPOSAL
Session Title (limit 50 characters) *
Your answer
Description (limit 300 characters) *
Your answer
Content Area Focus of Session *
Intended Audience *
Required
Type of session proposed *
Field Trip Information
Indicate the location/destination if you are proposing a field trip.
Your answer
Number of participants you can accommodate: *
The number of participants varies (usually 10+). If fewer than 10 participants register for your session you will be given the choice of letting the session make or canceling the session.
Your answer
Registration Requirement Acceptance *
On behalf of the presenter(s) listed in this proposal, I/we understand that I/we must register for the conference by the Early Bird Deadline.
Equipment and Commitment Acceptance *
On behalf of the presenter(s) listed in this proposal, I/we understand that I/we must provide equipment (computers, LCD panels, and other items) needed for the presentation. (This excludes computer labs.)
Presentation Scheduling Acceptance *
On behalf of the presenter(s) listed in this proposal, I/we understand that the program chairs must create a balanced selection of courses offered and may not be able to schedule my/our session at the requested time.
Additional Comments (these comments will not be published in the program)
Your answer
LEAD PRESENTER INFORMATION
First Name of Lead Presenter *
Your answer
Last Name of Lead Presenter *
Your answer
Agency/School/District *
Your answer
Are you an exhibitor? *
Preferred USPS Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone (xxx)xxx-xxxx *
Your answer
Cell Phone (xxx)xxx-xxxx
Your answer
Work Phone (xxx)xxx-xxxx *
Your answer
Fax (xxx) xxx-xxxx
Your answer
E-mail (e-mails are sent during the summer - home e-mail is preferred) *
Your answer
Alternate E-Mail
Your answer
Co-PRESENTER INFORMATION
Co-Presenter 1 - First Name
Your answer
Co-Presenter 1 - Last Name
Your answer
Co-Presenter 1 - Preferred Mailing Address
Your answer
Co-Presenter 1 - City
Your answer
Co-Presenter 1 - State
Your answer
Co-Presenter 1 - Zip
Your answer
Co-Presenter 1 - Work Phone (xxx)xxx-xxxx
Your answer
Co-Presenter 1 Fax (xxx)xxx-xxxx
Your answer
Co-Presenter 1 Home Phone (xxx)xxx-xxxx
Your answer
Co-Presenter 1 Cell Phone (xxx)xxx-xxxx
Your answer
Co-Presenter 1 - E-mail (emails are sent during the summer - home e-mail preferred)
Your answer
Co-Presenter 1 - Alternative E-mail
Your answer
Co-Presenter 2 - First Name
Your answer
Co-Presenter 2 - Mailing Address
Your answer
Co-Presenter 2 - Last Name
Your answer
Co-Presenter 2 - City
Your answer
Co-Presenter 2 - State
Your answer
Co-Presenter 2 - Zip
Your answer
Co-Presenter 2 - Work Phone (xxx)xxx-xxxx
Your answer
Co-Presenter 2 - Fax (xxx)xxx-xxxx
Your answer
Co-Presenter 2 - Home Phone (xxx)xxx-xxxx
Your answer
Co-Presenter 2 - Cell Phone (xxx)xxx-xxxx
Your answer
Co-Presenter 2 - E-mail (e-mails sent during the summer - home e-mail preferred)
Your answer
Co-Presenter 2 - Alternate E-mail
Your answer
READ CAREFULLY BEFORE SUBMITTING
Due to the limited options available at this time, after submitting the proposal form it will be necessary for you to scroll upward to view the message that confirms the form has been recorded.

You will be notified by the committee chairs that your information was received and entered into the data base.

Program chairs will notify presenters of the acceptance of the proposal.

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