Proposal to Present
2018 Annual Conference
Stonewall Jackson Resort, Roanoke, WV
March 16-17
Theme - Inspire the World
Deadline - December 1, 2017


Speaker Information
First Name:
Last Name:
Email:
Confirm Email:
Phone:
Cell Phone:
School or Institution:
Supervisor Title:
Supervisor First Name:
Supervisor Last Name:
Supervisor Mailing Address:

Partner Information
First Name:
Last Name:
Email:
Confirm Email:
Phone:
Cell Phone:
School or Institution:

Supervisor Title:
Supervisor First Name:
Supervisor Last Name:
Supervisor Mailing Address:

Session Type:
Prefered Room Layout:
Session Grade Levels (check all that apply)
K-2   3-5   6-8   9-12   College  

Title of Session (75 characters maximum):
Description of Session (500 characters maximum):
Equipment/Comment:
(A projector is provided - we will attempt to meet other needs. Please bring a laptop with a VGA port or an HDMI to VGA adapter as the conference projectors do not support HDMI.)

By checking here, I assert that I have read and agreed to the following:
  1. I understand that the conference registration fee will be waived for the principal speaker, but any partners must pay the registration fee.
  2. Free registration will not be given to presenters whose principal income is derived from a for-profit company. However, for any vendor, free registration will be included as a part of the vendor fee, and presentations from vendors will be welcomed.
  3. Even though my registration fee may be waived, I understand that I must register for the conference and will do so in a timely manner.
  4. If for any reason I cannot speak at the conference, I will notify WVCTM as soon as possible.
  5. I will not move chairs from one room to another.