PSTA 2017 Conference Proposal
Penn Stater Hotel & Conference Center- State College PA Nov. 30-Dec.1
Primary Presenters Name
Your answer
Title of Presentation
Your answer
Presentation Abstract: Up to a 25 word description as it will appear in the program booklet.
Your answer
Presenter Information:
Name
Your answer
School
Your answer
Work Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone
Your answer
School Phone
Your answer
Email
Your answer
Fax
Your answer
Presentation - Select one in each category:
Presentation Type
Grade Band
Subject Area
Preferred Time Allocation
Preferred Day
Other Information
All rooms are set up in classroom style including tables and chairs. Do you require any special accommodations?
Other notes to program staff:
Your answer
Is this a proposal from an exhibitor? (Registration fee is included in Exhibit fees.)
Safety Information: 1. Identify any potential safety hazards associated with your presentation. 2. What precautions will be taken during the presentation to deal with the hazards and to inform the audience of these hazards? 3. What safety equipment will be required? Please indicate provider.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms