FSMTA 2023 Conference Workshop Proposal Form

FSMTA 2023 Conference Workshop Proposal Form
~ Submission Deadline: June 30, 2023 ~
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:*
Are you a Collegiate Member?*

YesNo
Title of Proposed Program*
Equipment needed (if any)
Day/Time Preference (cannot be guaranteed)

Friday AMFriday PMSaturday AMSaturday PM
Brief summary of proposal - 150 word limit (each session is 50 mins long)*
Please include a 150—200 word bio*
Please upload a photo of yourself to be used in the conference book if your workshop is chosen (Acceptable files: JPG, PNG, GIF, and PDF)*

Browse Files

Cancelof
Please direct any questions to Scheduling/Programs Chair, Nancy Shackelford, at ns.mtadocs@gmail.com. Preference will be given to those proposals which best fulfill the Conference theme, "Exploring Collaboration." Please submit form by June 30, 2023.
Date

MonthDayYear
Date
This form may also be printed out and sent via USPS to Nancy Shackelford, PO Box 1116, Oakland, FL 34760
Should be Empty: