HI-TEC Preconference Workshop Presenter Proposal Form

(Proposals must be submitted online.)

Dear Submitter:

Thank you for your interest in presenting in a HI-TEC preconference workshop.

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
(there is no preconference workshop fee for workshop presenters)
* Denotes a required field.
Lead Presenter (Lead presenter is responsible for disseminating information to co-presenters)
*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 topics, include complex subjects and have a sufficient number of activities that require an extended interaction time
Focus on workforce diversity and best practices for serving students from groups underrepresented in STEM such as women, persons with disabilities, persons of color, and Veterans.
Allow participants to create, perform, practice or execute specific tasks or activities
Provide participants with an active role in the workshop
Contain hands on learning activities and provide take away content and resources that participants can use in course and programs

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

c. Other: (non-technical or not included above).
Please explain:

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

* Workshop Description
(Maximum: 100 words. Accurately describe what your workshop will cover and what attendees will gain from this workshop. Include a statement on how the workshop engages technicians, if applicable.

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

This information will be printed in the program book)

*Workshop Outline
(Maximum: 4,000 characters.
This will be printed in the program book and on the website.)

Include your workshop timeline, learning outcomes
and list the activities you will do.

This information will not be published.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

Workshops will be scheduled on Monday morning, Monday afternoon, and Tuesday morning. If you need the Tuesday morning slot, please list justifiable reasons such as college travel policies or scheduling conflicts.

* 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.

*Are you requiring participants to have laptops or computer access? Any other equipment used for demonstrations or hands-on activites must be provided by the presenters. 

Yes         No

*Room Setup

Classroom (2 chairs per 6' table)
Roundtables (seats 10 per table)

Other (Specify below)
(HI-TEC will accommodate your requests, if possible.)

Additional room setup requirements, if applicable
(Example: 3 tables in back of room)

*Expected Audience Size

25 attendees         50 attendees

*Will your workshop 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)

Co-Presenter Information

Additional presenters: (No charge for preconference registration)

*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). The program committee will need more detailed speaker information 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 + 6?
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.