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Please check one:

Adult Volunteer Youth Volunteer Extension Staff

Primary presenter's name:

Co-presenter(s)

Sessions are scheduled in time units of 45 minutes each. How many units will your session require? Select the most appropriate number:

1 2 3 4 5

Presentation Title:

Target Audience (select best response):

Youth Adults Both

Audience Size:

30-49 50-60 61-75 76-99 100 or more

Which Track Does This Topic Fits Best:

After School Camps & Camping Clothing & Sewing Cloverbuds Community Service Finances Food & Nutrition Livestock Living History Public Speaking Recreation Risk Management School Enrichment Shooting Sports Small Animals Science Technology Volunteer Leadership Animal(Specify) Club Programs (Specify) Teen Programs (specify) Other:

Session Instruction Level

Beginner Intermediate Advanced

Would you be willing to present your topic more than once?

Yes No

Is this part of an educational series? Does it build on another session?

Yes No

If yes, which session (s)

One table will be provided per room. The maximum number of tables will be two. How many tables do you prefer?

One Two

Presentation Style:

Lecture Hands-On Demonstration Interactive

Will participants be charged a fee?

Yes No

If yes, how much?

Brief Description

Is additional time required for setup?

Yes No

Is additional time required for clean-up?

Yes No