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APPLICATION FORM Conference Workshop Presentations

Annual MARE & MO K8 Conference

October 18, 19 & 20, 2017

Lodge of 4 Seasons

Lake Ozark, Missouri

Submission Deadline: August 16, 2017

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   

*required fields

2017 Conference Call for Presentations Form (Word)