HI-TEC Main Conference Session Presenter Proposal Form
(Proposals must be submitted online.)

Dear Submitter:

Thank you for your interest in presenting in a HI-TEC main conference session.

Please be aware that this form must be completed in a single session. Note that, because some networks automatically "time-out," it is best to finish in a relatively short time.

You will receive a copy of your submission via email.

If you have questions or problems with the form, please contact Sheila Wilson.

Thanks,
HI-TEC Staff


Presenter Information
(Presenters must register and pay the conference fee.)
* Denotes a required field.
Lead Presenter (Presenters must register and pay the conference fee.)
* First Name   Middle Initial
* Last Name
* Job Title
* ATE Center or Project Name
(if applicable)
* Organization
* Address Line 1
Address Line 2
* City
* State/Province    * Zip/Postal Code
* Phone    Ext.
* Fax
* E-mail
Alternate Email
Presentation Information

Topic Area

a. Which of these criteria are you meeting with your proposal? (may select more than one)

Cover new activities, successful approaches, lessons learned or content development
Focus on workforce diversity and best practices for serving students from groups under represented in STEM such as women, persons with disabilities, person of color, and veterans.
Report and provide a detailed case study of successful models for recruiting and retaining students, working with other educational institutions or partnerships with industry and other external organizations or other such topics
Report new content or information that is a result of collaboration between projects, centers, industry, or other partners
Contain new, recently developed hands-on learning activities, experiments or demonstrations which provide participants with take-away resources

b. Technical (please specify technology or technologies covered)

Advanced Manufacturing Technologies
Energy and Environmental Technologies
Biotechnology and Agriculture Technologies
Engineering Technologies
Information, Communications, and Geospatial Technologies
Learning, Evaluation and Research
Micro and Nano Technologies
Security Technologies
Workforce Diversity
Other: (non-technical or not included above).
Please specify:


* Session Title
(Maximum: 100 characters. The title should clearly commmunicate what the presentation is about.)


* Session Description (Maximum:100 word description on what your session is about and what participants will learn.

Do not include any urls as it will cause your submission to be rejected.

This information will be printed in the program book and on the website.)

* Session Outline
(Maximum: 1,500 characters)

Give a short outline of what will take place during your presentation and give the learning outcomes. If doing activities list the activities and what the participant will take home with them.

This information will not be published.

Do not include any urls as it will cause your submission to be rejected.

* Have you done this presentation at HI-TEC previously?

Yes        No

If yes, explain how the proposed presentation is different from your previous presentation and describe the new information you plan to include.

Time slot length

All sessions will be 45 minutes long.

Note: Each room will be equipped with an LCD projector for PowerPoints, Internet, screen, podium microphone (if needed), and cable package. Presenters must bring their own laptop.

* Is this a panel?

Yes      No

* Expected Audience Size

25 attendees         50 attendees
(Most rooms will be set with classroom in the front and theater seating in the back depending on the room size.)

* Will your session promote a product or service that is commercially available from you or a company that you represent? Yes   No

If yes, which company?
Is this product complimentary? Yes   No

Additional comments that might help us in reviewing your proposal (70 words or less, do not include any urls as it will cause your submission will be rejected.)
Co-Presenter Information

Additional presenters: (Each presenter must register for the conference and pay the registration fee.)

* Do you have any co-presenters? If so, please tell us how many and complete their information.
No  One  Two  Three  Four  Five 

If you don't have your co-presenter(s) name(s), please give the expected composition (i.e. educator, center personnel, industry leaders, technicians, etc). More detailed speaker information will be needed prior to registration opening in February.

  First Co-Presenter
First Name  
Last Name
Job Title
ATE Center or Project Name
(if applicable)
Organization
Address Line 1
Address Line 2
City
State/Province    Zip/Postal Code
Phone
E-mail
   Second Co-Presenter
First Name
Last Name
Job Title
ATE Center or Project Name
(if applicable)
Organization
Address Line 1
Address Line 2
City
State/Province     Zip/Postal Code
Phone
E-mail
  Third Co-Presenter
First Name
Last Name
Job Title
ATE Center or Project Name
(if applicable)
Organization
Address Line 1
Address Line 2
City
State/Province   Zip/Postal Code
Phone
E -mail
  Fourth Co-Presenter
First Name
Last Name
Job Title
ATE Center or Project Name
(if applicable)
Organization
Address Line 1
Address Line 2
City
State/Province   Zip/Postal Code
Phone
E-mail
  Fifth Co-Presenter
First Name
Last Name
Job Title
ATE Center or Project Name
(if applicable)
Organization
Address Line 1
Address Line 2
City
State/Province     Zip/Postal Code
Phone
E-mail

Security Question:
What is the sum of 2 + 3?
Please enter your answer in the box below.

To ensure that you have a copy for your records,
we recommend that you also print a copy of the form prior to submission.