2021 International Conference Portland - Workshop Proposal Form
This form is for the 2021 International Conference Presentation.
ALL FORMS ARE DUE BY 11:59 PM CST ON JANUARY 8, 2021
Email address *
Last name of presenter *
First name of presenter *
Do you represent an international committee? *
If you represent an international committee, please describe which one or write N/A.
Telephone (home)
Telephone (cell) *
Email address for contact purposes *
State Organization (Geographic) *
Chapter *
Additional Presenters' Names (If none, put N/A) *
If selected, do you feel comfortable giving your presentation virtually? *
Title of Presentation (please limit to 10 words) *
Please indicate session focus (check all that apply) *
Required
Presentations will follow a prescribed format. Mark the format your presentation will follow. *
Specific description of presentation (limit to 50 words). Presenter will be required to bring her own laptop if one is required. *
Please mark all days you will be attending the conference. *
Required
AV required for your presentation. Please note that you will be placed in a room according to your presentation format. Changes will not be made after this form is submitted. All presenters are required to bring their own laptop for presenting purposes. *
By submitting this form, you are agreeing to attend the conference should your proposal be accepted. You also understand that you are expected to pay the conference registration fee, as well as travel expenses and lodging. Additionally, you understand that DKG cannot reimburse presenters or state organizations for any expenses incurred for this presentation session. *
Please note that you should slide the button on the bottom of the survey to receive a copy of your responses from this form. *
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