2019 MCTM Annual Conference Speaker Proposal
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Thank you for your interest in speaking at the 2019 MCTM Annual Conference, which will be held on Friday, October 18, 2019 at Dundalk High School in Baltimore County, Maryland.  This year's theme is "What Does Your Why Equal? How Does Your Passion Translate?" Please complete this form to submit your proposal.  All proposals must be received by June 10th.  You will be contacted shortly after submitting your request.
First Name *
Last Name *
Preferred Address *
City, State, Zip Code *
Name of School System/College/Affiliation *
Contact Phone Number *
Email *
Required.  Speaker acceptance is sent to the e-mail address submitted here.
Please check all that apply in each of the following categories.
Primary Role: *
Required
Primary Audience (Check all that apply) *
Required
Primary Standards/Principles/Strands *
Please select no more than three
Required
Indicate the session format/length that you prefer. *
Session Title: *
Brief description of the session (40 words or less): *
Would you be willing to offer this session twice? *
Each room is equipped with an LCD projector and document camera.  Please indicate if you will need to use the following.  (Check all that apply): *
Required
Are you willing to have pictures from your session published on the MTCM website and/or in the MCTM Journal, The Banneker Banner? *
This year we are considering videotaping a few sessions to share with members.  Would you like to be considered as a candidate to have your session videotaped? *
If you plan to make reference to a NCTM publication, please list the title here:
MCTM offers free registration to the lead speaker for each session.  Co-speakers are responsible for their own registration.  If there are additional speakers, please add their names.
If you plan to present with more than one co-speaker, you will be able to submit their names and contact information when your session is accepted.
Co-Speaker's First Name:
Co-Speaker's Last Name:
Co-Speaker's Preferred Address:
City, State, Zip Code:
Co-Speaker's School System/College/Company:
Co-Speaker's Preferred Phone Number:
Co-Speaker's Email:
Please use this space for any additional comments or requests
Example:  Additional Co-speaker information
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