Workshop Presenter Form

Name *

Email *

Phone Number *

Workshop Topic *

Workshop Description *

#1 Preferred 50 minute workshop time, beginning at 9:00 a.m. and ending at 3:00 p.m. with the exception of Noon to 1:00 p.m.

#2 Preferred 50 minute workshop time, beginning at 9:00 a.m. and ending at 3:00 p.m. with the exception of Noon to 1:00 p.m.

#3 Preferred 50 minute workshop time, beginning at 9:00 a.m. and ending at 3:00 p.m. with the exception of Noon to 1:00 p.m.

Room Size Request (15-30) (31-40) (300 - by special designation) *

Audio Visual request (Laptops not provided) *

Please provide your bio *

Website/URL

Please provide links of any news paper articles, videos, etc. *

Message (Please specify any special needs or requests) *

File Upload - Please upload a professional headshot

Maximum file size: 516MB

File Upload - Please upload a book cover of any personal publication you would like to include

Maximum file size: 516MB