Convention Proposal Presentation

Presenter #1 Name *

First

Last

Presenter #2 Name

First

Last

Presenter #3 Name

First

Last

Place of Employment *

Email *

Title of Proposed Program *

Brief Description: Please limit it to 50 words

Suggested Length: *

50 minutes
Two /50 minutes session/ 100 minutues
Half a day session

Type of Presentation *

Lecture/Discussion
Activity/Participation
Poster

Preferred Day/Time *

Saturday AM
Saturday PM
Sunday AM
No Preferred time

Room set up. *

Theater
Open Space/Perimeter Seating
Open Space/ No Seating

Any additional needs for room set up. Please be specific.

List Equipment Needs: Note: Speaker are responsible for bringing their own laptop computer, CD player or sound system, etc. unless prior arrangement is made

Target Audience *

Convention Proposal Presentation

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SHAPE ARKANSAS