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Best Results for English Learners Conference Breakout Session Proposal Form
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Thank you for presenting for our conference. The registration for the lead breakout presenter will be waived.
November 5, 2019
PRESENTER INFORMATION
Presenter's Name:
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Your answer
Presenter's Title
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Affiliation
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Job Title:
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Address:
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Phone Number:
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Email Address:
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Co-Presenter's One (1) Name/Title/Email: *
Your answer
Co-Presenter's Two (2) Name/Title/Email: *
Your answer
Co-Presenter's Three (3) Name/Title/Email: *
Your answer
BREAKOUT PROPOSAL INFORMATION
Presentation Title & Topic:
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Grade Span
Your answer
Detailed Description (50 words or less) : Summarize the content of the session, intended audience and what they will learn or experience.
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Your answer
Parking Information
Parking passes are limited. We will provide one pass per presentation. Will you need a parking pass?
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No
Yes
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