VMEA Conference: Session Proposal Form

Co-Presenter #1 Information
Prefix
Name*

First NameLast Name
Email*
example@example.com
Email Repeat*
example@example.com
Phone Number*

Area CodePhone Number
NAfME Membership #
NAfME Expiration Date

MonthDayYear
Date
NAfME/State Affiliation*
Gender
How would you best describe your ethnicity?*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino, or SpanishNative Hawaiian or other Pacific IslanderWhite or CaucasionPrefer Not to Say
What school/institution or business are you associated with?
Do you have a professional website that is associated with you or your organization? If you would like to share that, please list the URL below.
Professional Website URL
Please attach a brief biography*

Browse Files
Upon selection, presenters will be provided the opportunity to upload a headshot, expanded biography, and any session resources to their own portal on the conference app. Cancelof

Co-Presenter #2 Information
Prefix
Name*

First NameLast Name
Email*
example@example.com
Email Repeat*
example@example.com
Phone Number*

Area CodePhone Number
NAfME Membership #
NAfME Expiration Date

MonthDayYear
Date
NAfME/State Affiliation*
Gender
How would you best describe your ethnicity?*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino, or SpanishNative Hawaiian or other Pacific IslanderWhite or CaucasionPrefer Not to Say
What school/institution or business are you associated with?
Do you have a professional website that is associated with you or your organization? If you would like to share that, please list the URL below.
Professional Website URL
Please attach a brief biography*

Browse Files
Upon selection, presenters will be provided the opportunity to upload a headshot, expanded biography, and any session resources to their own portal on the conference app. Cancelof

Co-Presenter #3 Information
Prefix
Name*

First NameLast Name
Email*
example@example.com
Email Repeat*
example@example.com
Phone Number*

Area CodePhone Number
NAfME Membership #
NAfME Expiration Date

MonthDayYear
Date
NAfME/State Affiliation*
Gender
How would you best describe your ethnicity?*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino, or SpanishNative Hawaiian or other Pacific IslanderWhite or CaucasionPrefer Not to Say
What school/institution or business are you associated with?
Do you have a professional website that is associated with you or your organization? If you would like to share that, please list the URL below.
Professional Website URL
Please attach a brief biography*

Browse Files
Upon selection, presenters will be provided the opportunity to upload a headshot, expanded biography, and any session resources to their own portal on the conference app. Cancelof

Acknowledgement
I attest to the validity of the information provided in this form, and agree to the publication of documents/photos provided in this application or the conference app if my session is chosen for the VMEA Conference.

YesNo
If chosen as a presenter, I hereby grant permission to the Virginia Music Education Association (VMEA) to use my image (photographs and/or video) for use in Media publications including: Videos, Social Media, Recruiting Brochures, Newsletters, Website and/or the Conference Application Program. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown.

YesNo
I understand that if my proposal is selected, said session will be scheduled anytime during our conference hours of Thursday, November 20th (midday) - Saturday, November 22nd (midday), and that individual scheduling requests/changes cannot be honored due to the complexities of scheduling.

YesNo
Signature

Clear
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