Presentation Worksheet

Please complete the following worksheet with the requested information and submit it by June 15, 2017.

* 1. Contact Name(s):

* 2. Contact Email(s):

* 3. Contact Phone Number(s):

* 4. For which regional meeting would you like your proposal to be considered?

* 5. Name of Presenter(s) (if different than above)

* 6. Presenter(s') Bio(s) (75 words or less)

* 7. Topic/Subject Area

* 8. Session Title (This can be a working title)

* 9. Session Description (approximately 100 words)

* 10. Format

* 11. What key takeaways will this session provide attendees?

* 12. Comments

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