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EYF Speaker Reply Form
Please submit by November 11, 2022
Questions? Contact Holly Hollenbeck at hhollenb@emporia.edu
or 620-341-5401.
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* Indicates required question
Name
*
Your answer
Address
*
Your answer
Day time phone number
*
Your answer
Email
*
Your answer
Are you willing to be a presenter at the 2023 EYF Conference on Saturday, March 4, 2023?
*
Yes
No
Your T-shirt size
*
S
M
L
XL
XXL
XXXL
Will you have any co-presenters?
*
Yes
No
Co-presenter name(s) and t-shirt size(s) for each
*
Your answer
Will you be our guest for lunch?
*
Yes
No
Total number of lunches?
*
Your answer
How many 20-minute morning career discussions are you willing to present?
*
0
1
2
3
"Catchy" title suggestion for career discussion:
*
Your answer
How many 45-minute afternoon hands-on workshops are you willing to present?
*
0
1
2
"Catchy" title suggestion for hands-on workshop:
*
Your answer
Brief description of your talk(s):
*
Your answer
Materials requested:
*
Your answer
Special room needs (i.e. sinks, tables, electrical outlets etc.)
*
Your answer
Will you need copies made? (We will need the originals sent to Holly by February 10, 2023.)
*
Yes
No
Do you need a classroom with a computer and projector for your career discussion?
*
Yes
No
N/A
Do you need a classroom with computer and projector for your hands-on workshop?
*
Yes
No
N/A
Will you need student helpers in your discussions and/or workshops?
*
Yes, I need 2.
Yes, I need 1.
No.
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