HSTI 2012
Presenters On-Line Registration Form

If you would like to propose breakout sessions for HSTI please take time to submit this form.
If you have questions please contact Don Benton at: donb@hssd.net or Wanda Hall at: hallw@hssd.net

Please ONLY apply if you truly intend to present.

Hot Springs Technology Institute 2012 - June 20-22

Back to HSTI

This form is for conference presenters only. You may fill out this on-line form to propose a breakout session. Only the main presenters conference fee will be waived (non-vendors only.) Vendors must have a vendor booth or make arrangements with Don Benton to present.

Contact information:

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

FAX

E-mail

URL

Non-Vendor Vendor with Booth Vendor with Paid Fee

Title of Presentation:

Description of Presentation for program:

Subject Area:

Grade Levels: (check all that apply)

Elementary
Secondary
Post-Secondary
Adult Education

Co-presenter(s) name(s) and title(s): (Conference Fees are NOT waived for co-presenters)

Please indicate the number and length of sessions you wish to present:
*NOTE: To have your conference fee waived we request that you present at least 2 sessions (the same or different topics) during the conference.*

Special Equipment Needs:

Projector - bring your own if possible please.
Dry Erase Board or Projector Screen - Specify below.
I will supply my own equipment

Please list additional comments here?

Please click the submit button one time only.

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail
URL

HSTI 2012 Presenters On-Line Registration Form

donb@hssd.net Copyright ©2012 Hot Springs Technology Institute. All rights reserved.

HSTI 2012
Presenters On-Line Registration Form

donb@hssd.net
Copyright ©2012 Hot Springs Technology Institute. All rights reserved.