MiraCosta Encuentros Conference Presenter Form 2020

MiraCosta Encuentros Conference 2020

Saturday, April 4, 2020
Presenter Registration Form
MiraCosta College

1 Barnard Dr., Oceanside, CA 92056

Deadline to Submit: March 20, 2020

Contact Information

Presenter's First Name *This question is required.

Presenter's Last Name *This question is required.

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

Email Address *This question is required. This question requires a valid email address.

Business Phone Number

Cell or Home Phone

Fax Number

Brief Bio/Career Background: *This question is required.

Please let us know the career category on what your presentation will focus on: *This question is required.

Science
Technology
Engineering
Math
Other Please enter an 'other' value for this selection. * This question is required.

Would you be willing to offer your workshop in Spanish? *This question is required.

Please let us know the your workshop availability by selecting one of the options below: *This question is required.

If you complete the following section, please take into account that the conference serves Latinx boys from 6^th through 12^th grade. Please title your highly interactive workshop and compose your description creatively and appropriately to engage the interest of the participants.

Title of Workshop: *This question is required.

Please include description of workshop (Limit 50 words). *This question is required.

Please list what audio/visual equipment you will need:
(MiraCosta College classrooms are equipped with a variety of media presentation equipment. Please let us know what your needs are and we will do our best to secure a room with the necessary equipment. We will advise you if we are able to accommodate your request but you may be asked to bring your own equipment, depending on availiability. If you have a specific type of room you are in need of (size, type of room such as computer lab, science lab, etc., please let us know). Please prepare your presentation for 30 students, unless you have arranged with the Workshop Coordinator to host a different number of students. Thank you for your understanding and for your time and dedication.)

We will be serving lunch at 12:00 p.m. Please join us!

MiraCosta Encuentros Conference Presenter Form 2020

Encuentros Workshop Presenter 2020