CALL FOR PRESENTERS
Statewide Spring Conference 24
Name
*
Organization
*
Title
*
Address
*
Address
Street Address Line 2
City/State/Zip
State / Province
Postal / Zip Code
Telephone
*
Fax
Work Phone
E mail
example@example.com
Presenter Role:
Keynote Speaker
Workshop Presenter
Co-Presenter
If asked, would you like to serve on a panel?
Yes
No
How many workshops would you like to submit for consideration?
Please Select
1
2
3
4
5
6
1. Title of Presentation
1. Workshop Abstract (50 Words of Less)
1. Length of Time needed
Please Select
60 mins
75 mins
90 mins
OTHER
1. Length of Time needed
1. Target Audience
Head Start/Early Head Start
Wellness
Community Service
Weatherization
Fiscal
Leadership
Human Resources
Outreach
Cybersecurity
Other
Presentation Cost:
Gratis:
Honorarium
Fee
Honorarium
Fee
Presentation Requirements (You "MUST" indicate below. If not we will not be able to provide):
Flip Chart/Markers
Additional
2. Title of Presentation
2. Workshop Abstract (50 Words of Less)
2. Length of Time needed
Please Select
60 mins
75 mins
90 mins
OTHER
2. Length of Time needed
2. Target Audience
Head Start/Early Head Start
Wellness
Community Service
Weatherization
Fiscal
Leadership
Human Resources
Outreach
Cybersecurity
Other
Presentation Cost:
Gratis:
Honorarium
Fee
Honorarium
Fee
Presentation Requirements (You "MUST" indicate below. If not we will not be able to provide):
Flip Chart/Markers
Additional
3. Title of Presentation
3. Workshop Abstract (50 Words of Less)
3. Length of Time needed
Please Select
60 mins
75 mins
90 mins
OTHER
3. Length of Time needed
3. Target Audience
Head Start/Early Head Start
Wellness
Community Service
Weatherization
Fiscal
Leadership
Human Resources
Outreach
Cybersecurity
Other
Presentation Cost:
Gratis:
Honorarium
Fee
Honorarium
Fee
Presentation Requirements (You "MUST" indicate below. If not we will not be able to provide):
Flip Chart/Markers
Additional
4. Title of Presentation
4. Workshop Abstract (50 Words of Less)
4. Length of Time needed
Please Select
60 mins
75 mins
90 mins
OTHER
4. Length of Time needed
4. Target Audience
Head Start/Early Head Start
Wellness
Community Service
Weatherization
Fiscal
Leadership
Human Resources
Outreach
Cybersecurity
Other
Presentation Cost:
Gratis:
Honorarium
Fee
Honorarium
Fee
Presentation Requirements (You "MUST" indicate below. If not we will not be able to provide):
Flip Chart/Markers
Additional
5. Title of Presentation
5. Workshop Abstract (50 Words of Less)
5. Length of Time needed
Please Select
60 mins
75 mins
90 mins
OTHER
5. Length of Time needed
5. Target Audience
Head Start/Early Head Start
Wellness
Community Service
Weatherization
Fiscal
Leadership
Human Resources
Outreach
Cybersecurity
Other
Presentation Cost:
Gratis:
Honorarium
Fee
Honorarium
Fee
Presentation Requirements (You "MUST" indicate below. If not we will not be able to provide):
Flip Chart/Markers
Additional
6. Title of Presentation
6. Workshop Abstract (50 Words of Less)
6. Length of Time needed
Please Select
60 mins
75 mins
90 mins
OTHER
6. Length of Time needed
6. Target Audience
Head Start/Early Head Start
Wellness
Community Service
Weatherization
Fiscal
Leadership
Human Resources
Outreach
Cybersecurity
Other
Presentation Cost:
Gratis:
Honorarium
Fee
Honorarium
Fee
Presentation Requirements (You "MUST" indicate below. If not we will not be able to provide):
Flip Chart/Markers
Additional
TOTAL ($)
Please list any additional expenses that will be charged below:
Presentation Dates Available (Select all that are applicable):
Mon 4/1
Tues 4/2
Wed 4/3
Special Needs (Preferred Dates and Times):
Email: training@scacap.org
Submit
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