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Primary Presenter's First Name

Primary Presenter's Last Name

Title of Presentation [as it will appear to the public]:

Description of Presentation 1 [This text will display as the description of your presentation on our conference system. You'll be able to update this with links and more once your session is approved and in our conference system]

To what grade range(s) of leaners does your presentation 1 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

What potential safety hazards are associated with your presentation?

What precautions will be taken during your presentation?

What safety equipment will be used during your presentation?

I have read and will abide by the "Minimum Safety Guidelines" as prepared by NSTA and available here
 Yes  

Into which of our conference strand(s) does your presentation 1 fit? Its appropriate to choose more than one!
 Life & Environmental Sciences  
 Physical Sciences (Chemistry & Physics)  
 Earth & Space Sciences  
 Implementing the 2019 MN Science Standards  
 Justice, Equity, and Culture in Science Education  
 Community and Global Impacts on Science Teaching  

Email:

Cell Phone

Please provide a brief '3rd person' bio describing yourself as it pertains to the presentation (Max 3-4 sentences). This will display on the conference page with your proposal. You'll be able to add a photo once we get you into the conference system.

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  

School/Organization Name

Work Phone