Engaging Educators Presenter Form 2024
The ESU 4 Team is excited to have you present at our 2024 Engaging Educators Day at Peru State College on February 2, 2024. Please complete this form to submit your presenter information.

Please complete a separate form for EACH session.

We appreciate your response by December 1, 2023.

If you have questions, please contact Tara (tgossman@esu4.net), Jen (jmadision@esu4.net), Lori (lbroady@esu4.net), or Ellen Stokebrand (estokebrand@esu4.net). Thank you!

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Email *
Name (as you would like it to appear in the conference schedule) *
Phone Number (mobile preferred; this will not be shared beyond our ESU 4 planning team) *
Title of Presentation *
Description of Presentation *
Please list the full name and email address of anyone presenting this session with you or type none. *
Please select the topics/audiences most relevant to your session (Check all that apply) *
Required
Would you like us to reserve a complimentary lunch for you? *
Do you have any dietary restrictions?  *
If yes, please explain. You may be contacted for specific arrangements.
What is your time preference for this presentation? (Check all that apply.) *
Required
Are you willing to repeat this presentation in multiple session breakouts? *
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