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Get registration forms in early to take advantage of early bird discounts. Rooms need to be reserved before January.  Discounted rates also apply to Conference Registrants.
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NMSA On Target

Association for Middle Level Education

2012 State Conference Presentation Proposal Form

Please type all information below.

Presenters for the OMLA State Conference are not paid an honorarium. Each presenter must register for the conference and pay the appropriate member/non-member fee‚ no exceptions!

For a Conference Registration Form - Blank PDF Form


Mini-sessions last for 60 minutes. If you do not hear a response regarding your presenter application by December 31, 2011, please contact Lorrie Kubaszewski at Kubaszewski-L@troy.k12.oh.us via email or call her at (937) 925-1190.

Conference Proposal Deadline: November 11, 2011

Blank PDF Form

PLEASE NOTE THAT ALL FIELDS MUST BE FILLED DUE TO THE SOFTWARE USED.  USE "N/A" INSTEAD OF LEAVING A BLANK FIELD.

* All Fields are Required

Session Information

We would like to know your preference for the following. We will try to honor as many of your requests as time and facilities allow.

  • Indicate your preference of day(s) to present

Primary Speaker Information

(This will be the only person who receives information regarding your presentation.)

Additional Speaker Information 1

(For program use and secondary contact only.)

Additional Speaker Information 2

(For program use and secondary contact only.)

Additional Speaker Information 3

(For program use and secondary contact only.)

Additional Speaker Information 4

(For program use and secondary contact only.)

Additional Speaker Information 5

(For program use and secondary contact only.)

Presenters for the OMLA State Conference are not paid an honorarium. Each presenter must register for the conference and pay the appropriate member/non-member fee - no exceptions! Mini-session last for 60 minutes.

Presentation Description
  • (The name listed here will be the person who receives all information regarding your presentation.)

  • (List the goal of your session in a brief statement.)

Abstract
  • Abstract: Provide a short 3-5 sentence description of your presentation. This will be printed in the program.

What is your target audience?
Presentation Topic

Please check the topic which is most closely relate yo your presentation. Choose on category only.

Audiovisual Aids

Only a screen will be provided.

Internet connection may be contracted directly from our conference supplier at your expense.

Additional equipment may be contracted directly from our conference supplier at your expense.

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