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Tk20 Information
Home
Texas Name Proposals
Form to submit presentation proposals.
Texas Name Conference Presentation Proposal
Fill in all information requested. ( * = Required)
Title of Presentation:
*
Presenter #1
Name:
*
Mailing Address:
*
City, State, Zip:
*
Email Address:
*
Phone:
*
Organization or Association:
*
Position:
*
If Multiple Presenters - Complete information for each as needed -- Then complete the description of the Presentation below.
Presenter #2
Name:
Mailing Address:
City, State, Zip:
Email Address:
Phone:
Organization or Association:
Position:
Presenter #3
Name:
Mailing Address:
City, State, Zip:
Email Address:
Phone:
Organization or Association:
Position:
Presenter #4
Name:
Mailing Address:
City, State, Zip:
Email Address:
Phone:
Organization or Association:
Position:
Presenter #5
Name:
Mailing Address:
City, State, Zip:
Email Address:
Phone:
Organization or Association:
Position:
Describe Your Presentation
Presentation Format:
*
Workshop
Research-to-Practice
Symposium
Research Paper
Poster Session
Conference Strands:
*
Research
Schools
Communities
Health
Professional Development
Abstract (150 words maximum):
*
Statement of Benefits to Audience:
*
Interence in submitting conference paper for conference publication:
*
Yes
No
Attach a summary of presentation (1000 words maximum) (Must be a Microsoft Word [doc or docx] or Adobe PDF document):
