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Nebraska to Central States 2020
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* Indicates required question
Email
*
Your email
Please provide your last name.
*
Your answer
Please provide your first name.
*
Your answer
What email address can you reach when traveling?
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Your answer
What is your cell phone number? Please include area code. example: 402-555-5555
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Your answer
Who is your cell phone provider?
*
This is only to allow us to contact you via computer-phone texting.
Your answer
What is your school or institution name?
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Your answer
What is your position?
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K-12 Teacher
Post-secondary instructor
Researcher
Other:
Required
What is your language of specialization?
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ASL
Chinese
English for English Language Learners
French
German
Italian
Japanese
Russian
Spanish
Other:
Required
What day will you arrive in Minneapolis?
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MM
/
DD
/
YYYY
What day will you leave Minneapolis?
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MM
/
DD
/
YYYY
What is the name of your hotel in Minneapolis?
Your answer
Are you presenting at Central States?
*
Yes
No
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