2021 MAHPERD Conference - Call for Session Proposals
If you are interested in presenting a session at the 2021 MAHPERD Conference, November 7-9, 2021 at the Samoset Resort, please complete and submit this form by May 1, 2021 for consideration. If you have any questions, please contact the MAHPERD Executive Director, Deb Smith at executivedirector.mahperd@gmail.com.
Presenter's Name & Title - Please list the names of all who are presenting in this session. *
Title Of The Session You Are Proposing: *
Session Description *
If we need to go virtual in 2021 are you willing to offer this session?
Clear selection
Is there a fee for your presentation?
Clear selection
Who is the primary audience for this session? *
Check all that apply.
Required
Preferred Presentation Day *
Required
Please let us know if there is a date or time that you DEFINITELY cannot present.
Are you (or any of the presenters) a current MAHPERD member? *
School/Organization *
Enter your affiliated school or organization AND town.
Presenter's Email Address *
Enter the email address of each presenter
Presenter's Cell/Home Phone Number *
Enter the phone number you would like us to use if we need to contact you. If more than 1 presenter please list their phone numbers, too.
Have you (or the other presenters) presented a conference session before? *
Where & When?
If you (or the other presenters) have presented workshop sessions before, please provide details.
Is there additional information you think we need to know?
List additional information not covered with the questions above.
Were you asked by a MAHPERD Board member to present? *
If yes, please choose the name of the MAHPERD Board Member
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