A. Program Information

Title of Program: Please limit title to 100 characters (including spaces) maximum. Titles longer than 100 characters are subject to editing.
Program Abstract: Proposals without an abstract will not be accepted. Abstract must be 25 words or less. Abstracts over 25 words will be edited to 25 words.

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B. Length of Presentation: Check ONE only.   1 Hour:   1.5 Hours:

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C. Type of Presentation: Check ONE only.

Hands-On:
Attendees are involved in hands-on activities at tables arranged classroom style.
Maximum Capacity of rooms is 25-30.
Only sessions where the participants MUST sit at tables should choose this option.

Hands-On:

Not Hands-On:
One table at front of room.  Chairs arranged theater style facing front of room.

Lecture:
Panel:
Discussion:
Demo:
Other:
If other, specify:

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D. Grade Level: Check ONLY ONE that BEST applies to your desired audience.   Please select one. K-4 5-8 9-12 K-8 K-12

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E. Content: Check NO MORE than 3 options.  If more than 3 options are checked, only the first 3 will be listed.
All Science
Biology:
Chemistry:
Earth Science:
Environmental Science:
Forensics
General Interest:
Life Science:
Physical Science:
Physics:
Safety:
Science Leaders:
Supervision:
Technology:
Other (Specify):
If other, specify:

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F. Presenter Information.  Complete the Additional Presenters form, if there is more than one presenter.  See information at the bottom of this page.

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G. General Information: Please read carefully to avoid problems with your proposal.

1) In accordance with convention policy, all profit and non-profit organizations that represent a product or service MUST purchase exhibit space in order to present a program.  The same program may not be presented twice at any one convention.

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2) Will you be featuring any materials (textbooks, lab manuals, software, how-to-books, kits, etc.) or your own services that can be purchased?
YES                         NO

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3) If YES, indicate the name and address of the company and/or individual from whom the above are available.

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4) Have you or this company purchased exhibit space at the convention?
YES     NO     If no, skip to question 6.

5) If YES, indicate the number of exhibit spaces purchased:                    

Vendors purchasing exhibit space are entitled to ONE presentation PER SPACE each day.
Vendors must supply all workshop materials.
VENDORS MUST SUPPLY ALL WORKSHOP MATERIALS AND AV EQUIPMENT.

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6) Please indicate a person to Chair your program.  Session chairs introduce the speaker and complete an evaluation of the program.
Name:
Telephone:
E-mail:

Would you prefer to introduce yourself?  (Session Chair still necessary for other tasks.)   
YES     NO

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7) We regret that we must ask you to supply all workshop materials and AV equipment except a DVD/VCR player and/or LCD projector which are scheduled on a first come, first served basis.  Computers for use with the LCD Projector WILL NOT BE PROVIDED.  Because of our limited supply of LCD Projectors, we ask that you make every attempt to bring your own. 

DVD/VCR?     YES   NO

LCD?     YES   NO

Type of Adapter?     PC     MAC

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8) Will your presentation require Internet access?

YES     NO

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I. Please Read Carefully

• You also need to submit a Curriculum Vitae.  Once you have submitted this Program Proposal form, please return to the Present a Program page, and fill out the form for the Curriculum Vitae.
• If more than one person is taking part in the presentation, after you submit both this Program Proposal form and the Curriculum Vitae form, return to the Present a Program page, and fill out the Additional Presenters form.  The same instructions apply as those at the top of this page for this form.
• If you have experience any difficulty using this form, please contact WebManager@njsc-online.com, and provide a description of the problem as well as the nature of any error messages.

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J. Submit

Check all information carefully.  Then, click on the Submit button below.  Please do not click twice.