Name: _______________________________ Board/Employer:_______________________________

Address:_____________________________________________________________________________

_____________________________________________________________________________

Phone:___________________ FAX:____________________ E-mail:_______________________

(If more than one presenter, please submit information for all)

Describe your proposed presentation and relate, if possible, to the conference theme.

Title:_______________________________________________________________________________

Description: _________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

 Format: Do you see your presentation as being a (circle one):

Lecture Workshop Field Trip/Activity Other (describe):__________________

Audience: Do you feel this presentation would be of interest to (circle):

grades 7/8 Grade 9 Senior Grade 9 geographie Geotechnologies

All keynote speakers and presenters will receive one complimentary registration (conference fee and meals) per session. Unless otherwise indicated, each session will be 1 hour in length. Please complete the following to assist us in planning our program.

Circle your preferred session time: Fri. AM Fri. PM Sat. AM Sat. PM

Preferred length of session: Single Double

Audio/Visual Requirements:__________________________________________________________________

_________________________________________________________________________________________

Computers: ________________________________________________________________________________

__________________________________________________________________________________________

Other: ____________________________________________________________________________________