Instructor's Request Form
Instructor Information
Instructor's Name(s)
Instructor's Location (company, agency, etc.)
Contact Number(s) - include fax
E-mail
Session Information
Title of Session
AV Equipment Wanted
Number of Participants
30
40
50
75
100
150
Other
Room Setup
Classroom (tables and chairs for participants)
Theatre (chairs for participants)
Special Setup Wanted
Target Audience
Length of Session
Hours (All conference session are scheduled as 1.5 hour, 3 hour, 4.5 hour or 6 hour sessions per day. Sessions outside of conference activities can be scheduled in any time length.)
Date(s) and Time(s)
Date
Time
Date
Time
Date
Time
Brief description of session.
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