PRESENTER PROPOSAL FORM
PLEASE SUBMIT BY OCTOBER 2, 2009
SEE TOPICS ALREADY SUBMITTED!
 
Name - First:    Last:   
Street Address:
City:    State:     Zip:   
School or Business Name:
If this is a vendor presentation, only exhibiting vendors will be considered.
School or Business Address:
City:    State:    Zip:
Home Phone:    Work Phone:  Fax:
Email:
Type of Presentation:
Hands On Lab Preference:
Suggested Audience:
Presentation Days:
Co-Presenters Information: Please include names, email, and affiliation.
Co-Presenter #1    
First Name
 Last Name
 Preferred Email
Affiliation
Co-Presenter #2    
First Name
 Last Name
 Preferred Email
Affiliation
Co-Presenter #3    
First Name
 Last Name
 Preferred Email
Affiliation
Co-Presenter #4    
First Name
 Last Name
 Preferred Email
Affiliation
Co-Presenter #5    
First Name
 Last Name
 Preferred Email
Affiliation

 
Title of Presentation:  
 
Description of Presentation: Please describe your presentation in 50 words or less for program 
 
Internet: Does your session utilize web resources such as streaming video that would require a higher than normal bandwidth?

Yes, high bandwidth is required.     No, regular Internet is fine.
 
Special Needs Do you have any special needs or other requests?
  

Acceptance of your proposal will be acknowledged by email only.
Please email sheryl.abshire@cpsb.org or call Sheryl Abshire, LACUE Program Chair at 337-217-4100 ext. 1001 if you have any problems submitting your proposal.