2022 SHAPE Michigan Convention

2022 SHAPE Michigan Convention Presenter Application

November 10th - 12th, 2022 Grand Traverse Resort - Traverse City
Thank you for your interest in presenting for the SHAPE Michigan 2022 state convention November 10-12, 2022. The convention will take place at the Grand Traverse Resort in Traverse City. Please complete the information below. After you submit your form, we will contact you to verify your proposal.

Thank you for your consideration.
Name *

First Name Last Name
Organization / School *
E-mail *
Phone Number: *

Area Code Phone Number
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Please list your current employment and years of service.
Presentation
Title of Presentation *
Please provide a brief description of your presentation *
Please state three session outcomes. *
Target Audience: *
Please list any additional presenters for this presentation. *
Title of Second Presentation
Please provide a brief description of your presentation
Please state three session outcomes.
Target Audience:
Please list any additional presenters for this presentation.
Should be Empty:

2022 SHAPE Michigan Convention Presenter Application