Name of Lead Presenter:
Agency Affiliation:
Address:
Phone number:
Email:
Title of Presentation (as it should appear in the Conference Program):
Who will benefit from your session?
Brief program description (as it should appear in the program - Limit to 50 words)
Session Objective:
At the end of this session, participants will be able to (this will be used for CEU credits):
Brief Biographical Information (to be read at the beginning of your session):
Each room will be equipped with a projector and screen. Presenters are responsible for bringing a laptop or any other necessary equipment. Please note any other technology you will need: