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Speaker Reply Form

Page One
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Complete a form for each session you would like to teach. If you will be using multiple speakers, please include contact information and bio for each speaker. (Limit three speakers per form.) Use tab to move between fields. If you would like a copy of this form, please print before you press SUBMIT FORM.

CLICK HERE to learn more about speaking and volunteering at JEA/NSPA national conventions.

Questions? Call Connie Fulkerson at 866-532-5532 or email cfulker@ksu.edu.
2. Affiliation (check all that apply)
Speaker's home information
(example: 123-123-1234)
Work information
(example 123-123-1234)
(65 words or fewer in sentence style, please; start with your name: "Joe Journalist advises ...")
(example 123-123-1234)
(example 123-123-1234)
(65 words or fewer in sentence style, please; Start with your name: "Joe Journalist advises ...")
(example 123-123-1234)
(Example 123-123-1234. Please insert hyphens.)
(65 words or fewer in sentence style, please; start with your name: "Joe Journalist advises ...")
Presentation information
(six words or fewer)
(write a short, two-to-three sentence description of your session; 45 words maximum)
22. Topic
(select only one)
23. What skill level is most appropriate for students or advisers attending this session?
24. Target Audience Size
25. Audio/Visual Needs
(Because of the rental expense please select only what is necessary for your session; for presenters requesting an LCD projector, please note that we cannot supply laptops or adapters)
26. Scheduling Conflicts
(please alert us to conflicts that might limit your availability)
27. Scheduling Availability
(taking into account scheduling conflicts above, please select all times you are available; times not available have already been booked; we appreciate your flexibility)
Please let us know about any special circumstances for your session, such as an unusual room set-up, or whether you are requesting a two-hour session.
Advisers/Professionals

Volunteers are needed for the following convention events. Current JEA and/or NSPA members may get their convention registration fee waived by presenting a session and volunteering for one or more of the asterisked items. Limit two waivers per school; limit two waivers per team-taught sessions. Student registration fees will not be waived.

Your name will be passed along to the individual or organization in charge of each event. You will be contacted if your service for these activities is needed and to verify you are still available.
29. Break With a Pro
(Friday 9 a.m. - 11 a.m.; professional journalists and students discuss careers)
Break With a Pro Categories
30. Write-off Contest Judge*
(broadcast judges work various times throughout Friday; all other judging begins 6 p.m. Friday)
Write-off Contest Judge Categories
31. NSPA Best of Show Judging*
(4:30-8 p.m. Friday; 7 a.m.-noon Saturday; Best of Show judges may not have students in attendance at the convention)
NSPA Best of Show Judging Categories
32. Critiques*
(Friday and Saturday with flexible times)
Critiquing Categories
33. Student Entertainment Chaperone*
(Friday 9 p.m. - 11:30 p.m.)