Presenter Application

By submitting this form, I am confirming that I have read and agree to the terms and conditions at cvcall.htm.

PROPOSED PRESENTATION
Title of Presentation*
Length of Presentation one hour   two hours     either
Day Requested
Description*

Note: For convention program publication, describe, in people first language, in not less than 30 and no more than 75 words, the content of your presentation. The description will determine your audience and should be clear, concise, and accurate. We reserve the right to edit your description.

Equipment Needed

PAR is happy to provide certain audio-visual equipment for your presentation at no cost to you. However, a rental charge for each piece of equipment used is still charged to us, so please limit your requests to only pieces of equipment that you will need for your presentation. We cannot guarantee the availability or functionality of any item.

PRIMARY PRESENTER
Name*
Name to be printed on badge*: First   Last
Email Address
Organization
Position
Address       work    home
City, State, Zip    
Work Phone 000-000-0000
Home Phone 000-000-0000
Fax 000-000-0000
Have you presented at a PAR Conference before? Yes    No
Vita

Vitas should indicate any special training or experience related to your proposal, as well as any previous speaking engagements. PAR needs vitas to apply for social work credit.

SECOND PRESENTER
Name
Name to be printed on badge: First Last
Email Address
Organization
Position
Address       work    home
City, State, Zip    
Work Phone 000-000-0000
Home Phone 000-000-0000
Fax 000-000-0000
Have you presented at a PAR Conference before? Yes    No
Vita

Vitas should indicate any special training or experience related to your proposal, as well as any previous speaking engagements. PAR needs vitas to apply for social work credit.

THIRD PRESENTER
Name
Name to be printed on badge: First Last
Email Address
Organization
Position
Address       work    home
City, State, Zip    
Work Phone 000-000-0000
Home Phone 000-000-0000
Fax 000-000-0000
Have you presented at a PAR Conference before? Yes    No
Vita

Vitas should indicate any special training or experience related to your proposal, as well as any previous speaking engagements. PAR needs vitas to apply for social work credit.