APPLICATION FORM
Conference Workshop Presentations
Annual MARE & MO K8 Conference October 20, 21, 22, 2016 Lodge of 4 Seasons Lake Ozark, Missouri
Submission Deadline: September 16, 2016
Proposed presentations may be submitted by mail, MARE 701 N College, Suite C or fax, (660) 747-8160
Submission Outline
Title of Presentation:
DESCRIPTION: A Brief, proofed description (50 words or less) of your presentation as it is to appear in the program must be attached.
Brief Description of Presentation:
Presenter(s)
Lead Presenter/Organization:	Position:
School District/Organization:
Phone #:	Fax #:	Email Address:
Address:	City:	State:	Zip:
Additional Co-Presenters
Name:	Position/Employer:
Name:	Position/Employer:
Name:	Position/Employer:
My presentation will involve selling a product or service:	Yes	No
Level of your topic will primarily address:	Check all that apply
Classroom Instructor	Administrator	Board Member	Other
Please check the special equipment needs: (Screen provided)
VCR	TV	Overhead Projector	LCD Projector
You must provide your own computer.