Speaker Proposal Form - WA 2017 FCS Conference October 15-17, 2017
Proposed Speakers - Please complete this form and submit preferably by July 24, 2017. Names will appear in the program exactly as provided below, if chosen. Once notified, please submit electronic handouts and PowerPoint to Genevieve Menino at genevieve.menino@gmail.com.
Email address
Speaker Name:
Your answer
Speaker Title:
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Preferred Phone for Contact:
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Preferred E-Mail Address:
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Speaker Background:
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Session Title:
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Please select the content area in which your session presentation best fits under.
Session Description:
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Name(s) of Additional Presenters:
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Time Needed for Session
Required
Would you be willing to present more than one time?
Required
Audio/Visual (Choose all needed)
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