2018 Winter Meeting Season Presentation Request Form

Please fill out the following information to request access to our presentations.

Question Title

* 1. Email Address:

Question Title

* 2. Name:

Question Title

* 3. Place of Work:

Question Title

* 4. State (or country if out of the United States):

Other Country: (please specify)

Question Title

* 5. If from Pennsylvania, please indicate your county?

Question Title

* 6. Select the presentations you need:

2018 – Pollinators and Pesticide Stewardship

2018 – Proper Site Analysis Before Making a Pesticide Application

2018 – Understanding Herbicide Mode of Action and Injury Symptoms

2018 – Winterizing Your Pesticide Sprayer

2017 – Easy Steps to Backpack Sprayer Calibrations

2017 – Easy Steps to do Boom Sprayer Calibrations

2017 – Pesticide Resistance

2017 – Respiratory Protective Devices for Pesticides (very large file)

2016 - Are You Label Literate? Or Are You Just Guessing?

2016 – CHEMSWEEP

2016 – Farm Safety

2016 – Keeping Pesticides Out of Groundwater

2016 – Pesticide Spill Protocol

2016 – Top Tips for Applicators

Question Title

* 7. Why are you requesting these presentations?

Use when I present at recertification meetings

Get ideas on how to present this type of information

Will be used to update our own employees/staff

Other (please specify)

Question Title

* 8. Will these presentations be given at meetings that charge a fee?

All of the meetings will charge a fee

Most will be given at meetings that charge a fee

About half of the meetings will charge a fee

Only a few of the meetings will charge a fee

None of the meetings will charge a fee

Not Sure of the breakdown

Question Title

* 9. Will you use this presentation(s) basically as is, or make significant changes to it?

Basically as is

Make significant changes

Question Title

* 10. Estimate how many places/meetings you or someone in your office will present the talks indicated above in the next year?

Question Title

* 11. Given the number of times these talks will be given in the next year, please give a rough estimate of the total number of people who will hear these presentations.

Up to 25

26 to 50

51 to 100

101 to 200

201 to 500

501 to 1,000

Over 1,000

Question Title

* 1. Email Address:

Question Title

* 2. Name:

Question Title

* 3. Place of Work:

Question Title

* 4. State (or country if out of the United States):

Question Title

* 5. If from Pennsylvania, please indicate your county?

Question Title

* 6. Select the presentations you need:

Question Title

* 7. Why are you requesting these presentations?

Question Title

* 8. Will these presentations be given at meetings that charge a fee?

Question Title

* 9. Will you use this presentation(s) basically as is, or make significant changes to it?

Question Title

* 10. Estimate how many places/meetings you or someone in your office will present the talks indicated above in the next year?

Question Title

* 11. Given the number of times these talks will be given in the next year, please give a rough estimate of the total number of people who will hear these presentations.

Question Title

* 12. Do you have any suggestions of other topics that you would like to see?