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naehcy conference concurrent sessions request for proposals

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If your proposal is accepted, what are your <strong>conference</strong> attendance plans? <br />

m I plan to attend the full <strong>conference</strong>. <br />

m I plan to attend only one day of the <strong>conference</strong>. <br />

m I plan to attend the <strong>conference</strong> only during the time of my presentation. <br />

How many co-­‐presenters are you planning to have <strong>for</strong> your presentation? A maximum of three <br />

copresenters in addition to the lead presenter will be listed in the program. <br />

m I will have no (0) co-­‐presenters. <br />

m I will have one (1) co-­‐presenter. <br />

m I will have two (2) co-­‐presenters. <br />

m I will have three (3) co-­‐presenters. <br />

Answer If How many co-­‐presenters are you planning to have <strong>for</strong> your ... I will have one (1) co-­‐presenter. Is <br />

Selected <br />

Complete all of the following contact in<strong>for</strong>mation <strong>for</strong> the first co-­‐presenter. The <strong>conference</strong> planning <br />

committee assumes that the lead presenter is the person who submits the presentation. All <br />

correspondence will be addressed to that person unless otherwise indicated. <br />

Co-­‐Presenter First Name <br />

Last Name <br />

Position Title <br />

Agency/Organization/School District Name <br />

Address 1 <br />

Address 2 <br />

Address 3 <br />

City <br />

State (use standard two-­‐letter abbreviation -­‐ e.g., TX) <br />

Zip Code <br />

Phone Number (xxx-­‐xxx-­‐xxxx) <br />

Telephone Extension Number (if applicable) <br />

Cell or Alternate Phone Number (xxx-­‐xxx-­‐xxxx <br />

Email address

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