Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name(s) of Speaker(s) *(as it will appear in Library marketing)Title of Presentation *(as you want it to appear in Library marketing)Who is your target audience for the program? *Adult ServicesChildren’s ServicesTeen ServicesGeneral AttendanceDescription of Presentation *(as you want it to appear in the conference program; no more than 100 words). Keep it short and simple – this is what will draw the crowd!Do you have a preference for day or time? *Preference for prime-time slots.No Preference(Please note: flexibility regarding day and time of program is highly preferred.) If you have chosen "Preference for prime-time slots." please check all days and/or time slots you prefer.AMPMMondayTuesdayWednesdayThursdayFridaySaturdaySundayWhat are your speaker’s additional A/V needs? *Wireless micOther AV or room needsEach program room will have a wired mic and podium, projector and screen, and Wi-Fi. Presenters will be responsible for providing their own laptops and cables. If you have chosen "Other AV or room needs", please specify and include any adaptive technology needs your speaker(s) or panel will require.If your speaker or speakers have a book or books available for purchase at the conference, please list them here.What is your estimated budget (fees and reimbursement) for this program?Each program room will have a wired mic and podium, projector and screen, and Wi-Fi. Presenters will be responsible for providing their own laptops and cables. Speaker fee/HonorariumMileageOther ExpensesTotal Estimated BudgetDoes your speaker/presenter require special accommodations? *Please describe them.Additional comments?Submit
