2018 Conference Breakout Presentation Proposal

Company / Organization Name *

Presenter 1 First Name *

Presenter 1 Last Name *

Presenter 2 First Name

Presenter 2 Last Name

Title *

Description *

(Maximum 100 words)

Target Audience *

Teachers

Administrators

Board Members

(Check all that apply)

Target Grade Level *

Elementary

Middle

High

(Check all that apply)

Target Category *

Instruction

Governance & Leadership

Operations

Advocacy

(Check all that apply)

Was this presentation delivered at a previous Association conference? *

Yes

No

Not sure

Is your company / organization planning to sponsor at this year's conference?

Yes

No

N/A

(Optional. If so, hold CTRL and click NCAPCS 2018 Sponsorships to see details after submitting your proposal.)

Special Accommodations

(Indicate any special accommodations you may need. We cannot guarantee satisfying all requests.)

Point of Contact

(The individual who should be contacted in reference to this proposal.)

First Name *

Last Name *

Phone Number *

Email Address *

Acknowledgement *

I have read and understand the presentation information and terms as shown on URL: https://ncpubliccharters.org/2018-conference/presenters/ along with the content in the page's direct links.