Presenter's Name (as you wish it to appear in print):
Title or Position:
School/Business/Organization:
Address:
City: State: ZIP:
Telephone:
FAX:
E-Mail:
Have you presented at SkillsUSA University before? Yes No

Additional Presenter’s Name:
Title or Position:
School/Business/Organization:
Address:
City: State: ZIP:
Telephone:
FAX:
E-Mail:
Has the additional presenter presented at SkillsUSA University before? Yes No

Presenter Biography
If you did not present at SkillsUSA University last year, please provide a brief career summary in paragraph form. This should briefly cover your current position and any other relevant career information:

Presentation Title and Description
In the space below please provide a workshop title and description covering the main topic and objectives of your presentation. The title should be short and descriptive so the audience understands what the presentation is about. Describe your target audience if your presentation is geared to a specific industry. Be sure to state what the audience will learn. Mention any handouts, resources or giveaways that you plan to provide.

Workshop Title (10 words or less):

Description (100 words or less):

Presenter(s): (include name and short title)

Audience
Indicate appropriate audience(s) for your session. Check all that apply:
High School Students
High School Educators
College/Postsecondary Students
College/Postsecondary Educators
Parents
General Audience
Career area

Presentation Day:
Select the day you would like to present. Note: most SkillsUSA University sessions are held on Wednesday June 26.

<pull down to select> Wednesday, June 26 Thursday, June 27 Friday, June 28

References
If you have NOT presented at SkillsUSA University before, please list two references. These should be colleagues or individuals who have seen you present within the past two years, and who could attest to your ability to speak in an informative and professional manner. References are not required if you were accepted for a presentation within the past two years.

Reference #1
Name and Title, Company, Address, Phone Number and Email

Reference #2
Name and Title, Company, Address, Phone Number and Email

Verification
By initialing below, I am confirming that I have provided all information requested and have reviewed your criteria carefully. I understand that if I am selected to present, I must register for the conference.  I am responsible for paying all travel and convention expenses and conference registration fee, which will be waived for all TECHSPO Exhibitor and National Technical Contest Committee members.

Initials: Date:

Submit by February 28, 2013