District 5 Call for Presentations Form

NCMPR District 5 is seeking presentation proposals for the 2022 district conference, scheduled Sept. 26-28 in Sioux City, Iowa. For details, view the "Call for Presentations."

2022 District 5 Call for Presentations Form

"Renew By the River"
Sept. 26-28, 2022
Sioux City, Iowa

Proposals are due June 10.

Questions?
Contact:
Kristin Kollbaum, District 5 Director
Northwest Iowa Community College
(712) 631-5634
kkollbaum@nwicc.edu

SECTION 1 -- Primary Contact

This is the individual who will be contacted if the presentation is selected. This individual will also be the point of contact throughout the planning process and will be contacted as needed for additional details, confirmations, etc.

Name *

Title *

Institution/Organization *

Address *

Address 2

City *

State/Province *

Zip/Postal Code *

Phone Number *

Email *

Will you be a participant in the session? *

Yes

SECTION 2 -- Presenters

If you are the primary contact and the only presenter, then skip to Section 3.

Otherwise, provide contact information for the other presenters.

PRESENTER

Name

Title

Institution/Organization

Address

Address 2

City

State/Province

Zip/Postal Code

Phone

PRESENTER

Name

Title

Institution/Organization

Address

Address 2

City

State/Province

Zip/Postal Code

Phone Number

ADDITIONAL PRESENTERS (if applicable)

For each additional presenter, provide their name, title, institution, phone and email.

SECTION 3 -- Presentation Stats

Title of Presentation (limit to 15 words) *

Type of Presentation *

Breakout Session (60 minutes)

Quick Take (30 minutes)

SECTION 4 -- Description of Presentation

Describe the presentation (250 words max). Include the objective of the presentation, a content description and the intended audience.

Description *

What are the expected key audience takeaways? These takeaways must be included in your presentation materials. *

Which of the following best describes the format of your proposed presentation? *

How To

Panel Discussion

Lecture

Case Study

Interactive

Other

Identify the level of your presentation. *

Introductory Level

Intermediate Level

Advanced Level

Has this presentation been made previously? *

Yes

If yes, when and where?

Audiovisual Needs *

SECTION 5 -- Presenter Bios

Provide a brief biographical sketch of each presenter (150 word max ea).

Presenter Bio *

I (we) agree to present this presentation in-person in Sioux City, Iowa. *

I (we) understand that I may be asked to pre-record a version of the presentation. *

I (we) understand and agree to the general guidelines outlined in the submission guidelines. *

Please respond to the following: * Required Field

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