Your Title:   Mr. Mrs. Ms. Deaconess Rev. Rev. Dr. Dr.    Your first name:    
Your last name:

Current Ministry (Church, school, or business name)

Your address

Your City    Your State:    Your zip:

Contact Phone:

Contact email:

Presentation Title or Topic (as you would like it to appear in the Conference Publicity and Booklet):
    

Brief Description of Topic (to assist conference committee as we evaluate presentation content):
    

Please indicate which Key Impact Point(s) your presentation will relate to:
(To select multiple choices, click "Control" plus each selection that pertains to your presentation) 

Faith Formation Fiscal Integrity Integrating Technologies Professional Development

Brief Bio (to assist conference committee as we evaluate potential speakers):
    
 

Target Audience for your presentation
(To select multiple choices, click "Control" plus each selection that pertains to your presentation) 
     Administrator Administrative Assistant DCE Deaconness EC Director Music Ministry Pastor Teacher - Early Childhood Teacher - Kindergarten Teacher - Grades 1-4 Teacher - Grades 5-8 Teacher - High School Teacher Specific (eg, Music, Spanish, Language Arts, Science, etc.) Youth and Family Ministry  

Sessions you are able to present
(To select multiple choices, click "Control" plus each selection that pertains to your presentation):
     No preference A - Wedneday afteroon B - Thursday morning C - Thursday afternoon D - Friday morning   

The information on this form will be forwarded to the Workshop Selection Committee for review.  If you are selected to be a presenter at the 2010 Educators Conference you will receive a request for further information for our conference booklet.

After reviewing the proposed presentations, the committee will inform applicants whether they feel the topic meets the needs of the conference participants.