Speaker Proposal Form 2011

Speaker Proposal Form
2011 FCTM Conference in Jacksonville, Florida
Deadline: June 15, 2011
Lead Presenter First Name
Lead Presenter Last Name
Mailing Address
City
State
Zip Code
E-Mail
Affiliation: School or professional/commercial company
Position
Co-Presenters
Title of Presentation (limit to 20 words)
Brief Description of Presentation (limit to 80 words)
Next Generation Sunshine State Standards addressed
Select the level that best applies to your presentation
How many times would you like to present?
Are you an FMPAA member?
Are you an FAMTE member?
What are your AV needs? PLEASE NOTE THAT WE DO NOT GUARANTEE ANY OF THESE ITEMS. WE WILL NOTIFY YOU UPON ACCEPTANCE OF PROPOSAL WITH ITEMS WE CAN PROVIDE.
Special Notes to Program Chair (Optional)
REMEMBER: You must register for the conference. Conference Registration forms will be available at www.fctm.net and will be emailed to all speakers upon acceptance of their proposal.
INTERNET ACCESS MUST ARRANGED BETWEEN THE PRESENTER AND THE HOTEL.
Please email fctm2011@gmail.com with any questions or concerns
Should be Empty:

Speaker Proposal Form