Wufoo

Speaker Information Form

Please complete this form for your participation at the 2008 OWEB Biennial Conference.

Name First Last
Job Title
Agency/Organization/Company
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone - (###) - ### ####
Presentation Title ( six word limit):
Presentation Summary:
Include outcomes - what will attendees learn?
Will you incorporate active/experiential adult learning techniques? (see document at http://www.oregon.gov/OWEB/biennialconference_08.shtml for description.)
Yes No
If yes, describe briefly:
Presenter biography (50-100 words):
Names, titles and organizations of co-presenters (if their involvement is significant, please ask them to complete a separate speaker information form):
Audio/Visual Needs:
Digital projector (you must bring your own laptop) Slide projector Overhead projector Other
Identify other a/v needs:
What handouts will be provided to attendees?
For Conference Manager Use Only:
Bio sent to moderator Confirmation letter sent Agreement letter received Handouts Recieved

A description of the section goes here.
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