OACE Presenter Application Form
Contact Presenter - Name
Title
E-mail
Address
City
State
ZIP
Name of Agency
Workshop Title:
May this presentation be repeated?
Yes
No
Presenter 2 - Name
Presenter 2 - Title
Presenter 3 - Name
Presenter 3 - Title
Presenter 4 - Name
Presenter 4 - Title
Presentation Abstract:
Topic
Audience Type - check all that apply
Para-Professional
Teacher
Administrator
Parent
Presentation Language
Bilingual-English/Spanish
English only
Spanish only
Other
Equipment needs:
Overhead Projector
TV/VCR
TV/DVD
LCD Projector
Room Arrangements
Theater Style
Table & Chairs
Other Special Arrangements