Presenter Information

Name:

Name (2):

Name (3):

Name (4):

Main Contact's Name:

Main Contact's School:

Full eMail Address:

Presentation Information

Presentation Site School:

Presentation Site Location (what room in the above school):

Event Date: (Example xx/xx/xxxx)

Event Time: (Example xx:xxam/pm)

Location of Files (ie. on a CD/flash drive/network files):

Type of Media:

Equipment Needed

Projector
Laptop
SmartBoard
Internet Access
Portable Screen
Overhead Projector
Special Needs:

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