Presenter Form – Statewide Virtual Conference

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Date
MM slash DD slash YYYY
Title of Your Session*
Please provide a description of your session/webinar (approximately 3-5 sentences).*
Need to make changes later? Just reply to the confirmation email you'll receive after you submit this form.
For event materials, list the presenter NAME(s) and AFFILIATION(s)
Example 1: See Moua-Leske, Southwest ABE
Example 2: Kaija Bergen and Scott Helland, Literacy Action Network
Example 3: Patsy Egan, ATLAS, and Astrid Liden, MDE. Panelists: Lindsey Pust, ATLAS; and Erin Parker, PANDA.
Who will be presenting at this session?*
- Lead presenter (solo)
- Co-presenter(s)
- Panel facilitator and panelists
Lead Presenter / Panel Facilitator*
First Last
Lead Presenter Email*
Co-Presenter Section
Co-Presenter 1*
First Last
Co-Presenter 1 Email*
Co-Presenter 2
First Last
Co-Presenter 2 Email
Panelist Section
Panelist 1*
First Last
Panelist 1 Email*
Panelist 2
First Last
Panelist 2 Email
Panelist 3
First Last
Panelist 3 Email
Additional Instructions
Additional instructions or questions for ATLAS staff

Co-Presenter Section