2022 MAHPERD Conference - Call for Session Proposals
If you are interested in presenting a session at the 2022 MAHPERD Conference, November 6-8, 2022 at the Samoset Resort, please complete and submit this  form by May 1, 2022 for consideration.  If you have any questions, please contact the MAHPERD Executive Director, Deb Smith at executivedirector.mahperd@gmail.com.
Sign in to Google to save your progress. Learn more
Presenter's Name & Title - Please list the names of all who are presenting in this session. *
Title Of The Session You Are Proposing: *
Session Description *
Is there a fee for your presentation? *
Who is the primary audience for this session? *
Check all that apply.
Required
Preferred Presentation Day *
Required
Please let us know if there is a date or time that you DEFINITELY cannot present.
Are you (or any of the presenters) a current MAHPERD member? *
School/Organization *
Enter your affiliated school or organization AND town.
Presenter's Email Address *
Enter the email address of each presenter
Presenter's Cell/Home Phone Number *
Enter the phone number you would like us to use if we need to contact you.  If more than 1 presenter please list their phone numbers, too.
Have you (or the other presenters) presented a conference session before? *
Where & When?
If you (or the other presenters) have presented workshop sessions before, please provide details.
Is there additional information you think we need to know?
List additional information not covered with the questions above.
Were you asked by a MAHPERD Board member to present? *
If yes, please choose the name of the MAHPERD Board Member
PRINT THIS FORM BEFORE SUBMITTING
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms