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 100% of survey complete.
Thank you for applying to present at the 2023 AkLA Conference in Fairbanks, AK March 23-25.

The deadline for applications is October 31, 2022. One of the conference planners will get back to you with a decision by the end of November.

If you were asked to submit an application, for yourself, or on behalf of someone else, please note so in the "Other Comments" section at the end of the survey.

If you have any questions about this application process, please email the Conference Program Coordinators, Kit Shannon,  kmshannon@alaska.edu or Lisa Sam, sam_lisa@asdk12.org

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1. Presenter Contact Information (Required.)

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2. Program Co-Presenters, if Applicable

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3. Does this program have more than 2 presenters? (We will contact you for additional information)

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4. Presenter Biography (500 characters or less) (Required.)

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5. Preferred Type of Program (Required.)

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6. Preferred mode of presentation (Required.)

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7. Do you consent to your session being recorded and shared on the conference platform?

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8. Preferred Length of Session (Required.)

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9. What is your intended audience? Select all that apply. (Required.)

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10. Title of Program (Required.)

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11. Full Program Description (Required.)

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12. Expected Number of Participants (optional)

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13. Preferred Room Configuration (Please note we cannot guarantee preferred room layout, but we will do our best to accommodate your needs.)

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14. Room Equipment Needed (Please check all that applies.)

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15. Other Comments (Is there anything else we should know about you or your proposed session?)

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16. Please indicate if there are any accessibility issues we can address

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