Part 1 - Presentation Information:
The deadline to turn in applications is December 1, 2009. Applications received after December 1, 2009 will be considered as alternates in case of cancellations.

Tips to make entering your application easier

  1. Do not use the back button while entering your application, you will be given a chance to change/update your information at the end of the application process.
  2. This form works best if you use Internet Explorer.
  3. Use the tab key to move between fields, the enter key will attempt to submit the form and you will receive error messages if fields are left blank.

Presentation Title:
(A maximum of 10 words, as you would like it to appear in the program booklet)
Presentation Abstract:

(A maximum of 65 words, as you would like it to appear in the program booklet):


Check Preferred Session Type:
Concurrent - 1 hour, single presentation, theater style session.
Mini - 30 minute, single presentation, theater-style session on March 10th only.


Are you willing to repeat your presentation if requested?
Yes
No


To help us code your program properly in the program booklet, please check all that apply:
Levels:   Targeted Audiences:
Elementary   Administrators
Middle/Jr. High School   Guidance Counselors
Secondary   Instructors
Postsecondary   Business/Industry/Labor
Business/Industry   University Professors
Association/Vendor   Student Teachers
All of the Above   High Schools That Work
      All of the above


Audio/Visual equipment needs 
  1. Connections will provide limited audio/visual at no expense: TV, VCR, Transparency Style Overhead Projector, Screen and active internet.
  2. Presenters will be responsible for the acquisition, expense, and set-up of more sophisticated equipment such as computers, computer projection units, LCD projectors, etc. You are more than welcome to bring your own equipment in, you will have 15 minutes before your session to set up.
  3. Please check the following equipment that you will need.
TV
VCR
Transparency Style Overhead Projector
Screen
Internet Access  
No equipment needed  


Part 2 - Main Contact Information:

Enter your contact information below:
* Indicates a required field.
Salutation:
*First Name: 
*Last Name: 
Suffix, (i.e. Jr.): 
Position/Title: 
*Organization/
Institution:
*Mailing Address:
*City:
*State:
*Zip:
 -
*Business Phone:
 ( ) -
Extension:
*Fax:
 ( ) -
Home Phone:
 ( ) -
*Email Address:**
**Will also act as your user id
*Password:
*Confirm Password:

The following information is required for your presentation. Connections offers attendees and presenters Continuing Professional Development Units (CPDUs). To do this, Connections is required to have the following information on file for the main contact of each presentation. Please enter the following:

*Your current employer:

*Your experience in offering training in the area(s) of assignment:

*Educational history listing the institution, degree, and date received:



*Please select your registration option below. You are entitled to two complimentary registrations for this presentation which you can apply to yourself and a co-presenter or apply both to your co-presenters. You will be asked for your co-presenters information in the next screen.


If you require special needs, select the options below:
Sign Language Interpreter
Visual Impairment
Wheelchair
Vegetarian Meal
Atkins Meal
South Beach Meal
Other:





When you have finished entering your presentation and contact information click on the button below to move to the next part of the application to enter your co-presenters: