PRESENTER PROPOSAL FORM
PLEASE SUBMIT BY SEPTEMBER 19, 2011
SEE TOPICS ALREADY SUBMITTED!
 

Presenter Information:
 
First Name:
 Last Name:   
  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:
 		Cell Phone:
 		 Fax:
  Email:
  Type of Presentation:

 
  Suggested Audience:

 
  Presentation Days:

 

Co-Presenter(s) 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.
 

Interactive White Board: (Concurrent and Hands-On Sessions Only - Select last option if a Poster Session)
  Promethean Board required
Smart Board required
An interactive white board is not required (only a projector and screen)
This is a Poster Session.  I will not have an interactive white board, screen or projector.
 

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.