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MN Adult Ed
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ATLAS VIRTUAL Event Presenter Form
Please note: Summer Institute is NOT an ATLAS event, so
Summer Institute presenters should not fill out this form
.
Date
*
MM slash DD slash YYYY
Your Name
*
First
Last
Your Email
*
Enter Email
Confirm Email
Cell Phone
*
Only for use by administrators on the day of the event, in case of emergencies or tech issues
Your ABE Program/Consortium/Site
*
OTHER - NOT LISTED HERE
MDE
AALC - LeSueur area
Adult Academic Program - Robbinsdale
Adult Options in Education - Hopkins
AEOA
Alexandria ABE
American Indian OIC/Takoda - Mpls
Bemidji ABE
Brainerd ABE
Burnsville School for Adults
Cambridge-Isanti ABE
Cass Lake-Bena ABE
Cedar Riverside Adult Education
CLUES
Dakota Prairie/Farmington ABE
DOC: MCF-Faribault
DOC: MCF-Lino Lakes
DOC: MCF-Moose Lake/Willow River/Togo
DOC: MCF-Oak Park Heights
DOC: MCF-Rush City
DOC: MCF-Shakopee
DOC: MCF-St. Cloud
DOC: MCF-Stillwater
Duluth ABE
English Learning Center - Mpls
Fairmont ABE
Faribault ABE - Faribault
Faribault County ABE - Blue Earth
Federal Bureau of Prisons
Forest Lake ABE
Glacial Lakes ABE
Great Rivers Adult Education
Guadalupe Alternative Programs
Harmony Adult Education Ctr/Metro East
Hastings ABE
Hennepin County Corrections
Hiawatha Valley/Red Wing ABE
Hmong American Partnership
Hmong Cultural Center
Hubbs Center/St Paul ABE
International Education Center/Lincoln - Mpls
International Institute - St Paul
Lakes Area Adult Education - Detroit Lakes
Lakes Area Adult Education - Park Rapids
Lakes Area Adult Education - Wadena
Lakeville ABE
Literacy Minnesota
Lyndale Neighborhood Assoc
Mankato ABE
Metro NORTH ABE - Anoka-Ramsey CC
Metro NORTH ABE - Blaine
Metro NORTH ABE - Columbia Heights
Metro NORTH ABE - Elk River
Metro SOUTH ABE
Minneapolis Adult Education
Moorhead ABE
Mounds View ABE
Neighborhood House
NE Regional Corrections Center
NW Indian Community Devel Ctr - Bemidji
NW Service Coop
Osseo ABE
Ramsey County Corrections
RAVE - Rosemount/Apple Valley/Eagan
Red Lake Band of Chippewa Indians
Rochester ABE
Roseville ABE
SE ABE - Albert Lea
SE ABE - Austin
SE ABE - Owatonna
SE ABE - Winona
South Suburban ABE
SouthWest Metro Educational Cooperative
St Cloud ABE
Stillwater ABE
Summit Academy OIC
SW ABE - Marshall
SW ABE - MN West/Jackson
SW ABE - Mountain Lake
SW ABE - MRVED/Granite Falls
SW ABE - Worthington
ThinkSelf - Deaf ABE
Tri-County Corrections ABE
Vietnamese Social Services
WEST ABE
White Earth ABE
OTHER: If not listed above, what is your ABE program?
*
Virtual Event Details
Virtual Event Title
*
(e.g., ACES Webinar, CCRS Webinar, Math Webinar, etc.)
ACP Institute
Math Institute
Fall Statewide Conference
Spring Statewide Conference
Virtual Event Date
*
MM slash DD slash YYYY
This field is hidden when viewing the form
Virtual Event Date
*
Day(s) of the week (e.g., Mon, Tue, Wed, etc.)
Date(s) (in MM/DD/YY format)
Virtual Event Time
*
(e.g., 1:30-3:00 pm)
Title of Your Session/Webinar
*
(for events without multiple sessions, this may be the same as the Event Title)
What is your role in the presentation?
*
Lead Presenter/Facilitator
Co-Presenter/Facilitator
Panelist
Please provide a brief bio (200 words or less):
*
Please provide a description of your session/webinar (approximately 3-5 sentences).
*
It is your responsibility as Lead Presenter to inform Gail Rutan directly of any changes after your presenter form has been submitted.
Do you have any co-presenters and/or panelists?
*
Yes, I have co-presenters and/or panelists.
No; I am presenting alone.
Please list the names and emails of all your co-presenters and/or panelists. [CLICK PLUS SIGN ON RIGHT TO ADD MORE ROWS]
*
It is your responsibility as Lead Presenter to inform Gail Rutan directly of any additions/deletions/changes after your presenter form has been submitted.
First & Last Name
Email
Organization
Presentation Role (i.e., co-presenter, panelist, table coach, etc.)
Will you need to receive a registration list before the event?
*
Yes
No
By when will you need the registration list?
*
Additional Instructions
Additional instructions or questions for Senior Events Manager Gail Rutan: