Technology Conference Presenters Proposal Form To make a presentation proposal please supply the information requested below. If you have a questions or a problem email newberry@csusb.edu. First Name: Last Name: Address: City: State: California Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Phone: Email: Type of Presentation: Select Presentation Type 30 Minute Concurrent 60 Minute Concurrent Round Table 60 Minute Hands-On Workshop Is this a vendor presentation? No Yes Most appropriate for: (You may choose more than one.) K-3 Teachers 4-6 Teachers Middle School Teachers High School Teachers Administrators Higher Education Presentation Title: Please provide a short (100 words or less) description of your presentation. I agree that I am responsible for providing my own presentation equipment (laptop, projector, etc.) for the presentation, including the hands-on workshop, I am proposing.