CHC Community Action Agency

Call for Proposal

Early Learning Institute
Pre-Service Conference - Presenter Proposal
August 26, 27 and 28, 2010

Presenter Name:
Organization/Company
Email Address:
Address
City
State
Zip
Degree/Certificate
Additional Presenter? (Name, Organization, Degree, Address)
Workshop Description: (Two or three sentences for insertion in conference brochure)
Total Number of times I am willing to present:
Length and Cost of Session:	Cost $
What dates are you willing to present?	Additional Dates?
Specify Targeted Professionals:
Equipment Needed:
Topic Area: (Please select one)