KAHPERD Program Proposal 2007

Title of Proposed Program - 14 Words or Less*
Brief Description of Proposed Program*
Speaker #1 First Name*
Speaker #1 Last Name*
Speaker #1 Address*
Speaker #1 City*
Speaker #1 State*
Speaker #1 Zip Code*
Speaker #1 e-mail*
Organization Affiliation#1
Speaker #2 First Name
Speaker #2 Last Name
Speaker #2 Address
Speaker #2 City
Speaker #2 State
Speaker #2 Zip Code
Speaker #2 email
Organization Affiliation#2
Names of Additional Speakers
Type of Presentation* Lecture
Activity
Technology
Length of Presentation* Mini-Sessions (20 Minutes)
Full Session (50 Minutes)
Audiovisual needs
Equipment Needs