PRESENTATION PROPOSAL SUBMISSION

Heartland Regional Conference of Mediators

Mediation: Stepping Up To The Plate

Proposals are due September 26, 2008

Thank you, in advance, for submitting a presentation proposal for the 2009 Heartland Regional Conference for Mediators.  The conference will be held April 23 - 24, 2009, at the Scott Conference Center in Omaha, NE.  Each approved primary presenter will receive a $50 credit toward their registration fee.  If you do not want to complete the proposal online, click here to print out a form to complete by hand and mail in. 

workshop Information:

Title of Presentation:   

Training Track (select all that apply):

Brief program description for conference brochure (approximately 50 words):

Experience level of intended audience:

Length of session:

Scheduling preference:

Please list your audiovisual requests:

A conference workbook will be available to attendees.  If you want materials published in the conference book, materials must be received by February 27, 2009.  Please indicate whether or not you plan on providing participants with materials to supplement your presentation - -- Select One -- Yes, I will be submitting written material for the conference book No, I will not be submitting written material for the conference book

Please submit a detailed description of the presentation (outline and/or written material) for review by the workshop committee.  Please email the information as an attachment to kelly@nemediation.org.

Primary presenter Information:

Name of Primary Presenter:    

Title:

Organization:  

Address:  

City:     State: NE AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MO MT NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY              Zip:  

Telephone:      Email Address:   

Brief Bio - include degrees, certifications, and professional memberships:

secondary presenter Information:

Name of Primary Presenter:  

Title:

Organization:  

Address:  

City:     State: NE AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MO MT NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY              Zip:

Telephone:      Email Address:   

Brief Bio - include degrees, certifications, and professional memberships:

Ready to continue?               -- Select -- Ready