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To what grade range(s) of leaners does your presentation best fit? This will be listed with the presentation description
 preK-4  
 5-8  
 9-12  
 13 and beyond  

Do we have permission to record your session(s) and make them available online to registrants?
 Yes
 No





 Yes  

Into which of our conference strand(s) does your presentation fit? Its appropriate to choose more than one!
 Life Sciences  
 Physical Sciences (Chemistry & Physics)  
 Earth & Space Sciences  
 Leveraging Technology  
 Diversity and Inclusion  
 Science Communities  




What is your position within your organization?
 Educator  
 Professor  
 Coordinator  
 Administrator  
 Vendor  
 Other:  

During which of the following conference dates are you available to present? [Please include all that can work for you!]
 Thurs PM, Oct 28  
 Fri PM, Oct 29  
 Sat AM, Oct 30  
 Mon PM, Nov 1  



Office use only: