Showcase Nevada

Showcase Nevada :: 2010

Call for Presenters

Presenters Information:

Presenter 1 Information:
Individual Name:

Title:

Organization/Affiliation

Mailing Address:

City:
State:
Zip:



Email Address:

Phone Number: (office)

Phone Number: (cell)

Fax Number:

Brief Bio:

Presentation Experience:

Presenter 2 Information:
Individual Name:

Title:

Organization/Affiliation

Mailing Address:

City:
State:
Zip:



Email Address:

Phone Number: (office)

Phone Number: (cell)

Fax Number:

Brief Bio:

Presentation Experience:

Presentation Information:
Title of Presentation:

Presentation Description:

Presentation Objectives:

Conference Strands (choose at least one):  

Audience (choose at least one):   Administrative/Program Directors, Supervisors   New Program Staff   Experience Program Staff  
Community Partners   Trainers   Evaluators   Board Members, Partners, Policy Makers

Geared to Programs (choose at least one):   Elementary School   Middle School   High School   All Grade Levels  
School Year Programs   Summer Programs  

Type of Presentation (choose at least one):   Panel   Lecture   Interactive   Small Group  

AV needs:   Screen   Microphone   Projector  

Are you a vendor?:   Yes   No   No but I am interested in being a vendor  

Verification Code: