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MMEA Conference

2024 Mentoring Conference | Session Information Form

10th annual mmea mentoring conference

september 15-16, 2024 * Tan-tar-a conference center

MMEA FALL CONFERENCES

Mentoring Conference | NAfME-C Workshop | Tri-M Summit

SESSION INFORMATION FORM

General Information | Mentoring Conference Session Information

Submitted by the MMEA Board Member that is responsible for the clinic/session.
Complete the following form for each 2024 Mentoring Conference clinic/session.

DEADLINE: AUGUST | ASAP

2024 Mentoring Conference | Session Information Form

Step 1 of 6

16%

BOD Member Submitting This Form:*
First Last
Conference Area
Clinic/Session Information
Session/Presentation Category:*
Title of Clinic/Session:*

Please enter the TITLE of the session exactly as it is to appear in MMEA Conference publications.
Clinic/Session Description:*
* Limit description to 80 words or less. **Please enter the description exactly as it is to appear in MMEA Conference publications.
*MMEA reserves the right to edit session descriptions as needed to comply with publishing guidelines.
Clinician/Clinic Sponsor/s:
Please provide pertinent information regarding any/all sponsorship for this session. (i.e. Name of sponsoring company/organization, contact person, contact person information – email, phone, etc.)
Equipment Needs:*
- NONE
- Data Projector
- Audio Connection to “house” sound system
- Other (Please indicate needs below)
NOTE: Computer availability is the responsibility of the clinician. MMEA does not provide computers for event sessions.
Additional Equipment Needs:

Please list any additional equipment/audio visual needs required for this session.
Additional Information:
Please provide any additional information that may be relevant to the success of this presentation.

Primary Clinician/Presenter Information
Name | Primary Clinician/Presenter:*
First Last
Clinician/Presenter Title:

Provide the title that will appear in conference publications (i.e. Director of Choirs)
Name Badge Information (City/State OR Institution):

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.
Email | Primary Clician/Presenter:*
BIOGRAPHICAL INFORMATION
1. You may type or “cut & paste” directly into the form field below.
2. You may upload your biography through the document upload field below.
Biographical Information:
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Biographical Document
Max. file size: 456 MB.
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Clinician Head Shot Image
Max. file size: 456 MB.
Upload Clinician Contract/Agreement
Max. file size: 456 MB.
Add a Co-Presenter (1)
- Yes
- No

Co-Presenter (1) Information
Name | Co-Presenter 1:
First Last
Email | Co-Presenter 1:
Name Badge Information (City/State OR Institution):

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.
BIOGRAPHICAL INFORMATION
1. You may type or “cut & paste” directly into the form field below.
2. You may upload your biography through the document upload field below.
Biographical Information:
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Biographical Document
Max. file size: 456 MB.
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Clinician Head Shot Image
Max. file size: 456 MB.
Upload Clinician Contract/Agreement
Max. file size: 456 MB.
Add a Co-Presenter (2)
- Yes
- No

Co-Presenter (2) Information
Name | Co-Presenter 2:
First Last
Email | Co-Presenter 2:
Name Badge Information (City/State OR Institution):

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.
BIOGRAPHICAL INFORMATION
1. You may type or “cut & paste” directly into the form field below.
2. You may upload your biography through the document upload field below.
Biographical Information:
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Biographical Document
Max. file size: 456 MB.
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Clinician Head Shot Image
Max. file size: 456 MB.
Upload Clinician Contract/Agreement
Max. file size: 456 MB.
Add a Co-Presenter (3)
- Yes
- No

Co-Presenter (3) Information
Name | Co-Presenter 3:
First Last
Email | Co-Presenter 3:
Name Badge Information (City/State OR Institution):

*Clinician name badges will include the clinician’s name, and either their city/state, OR their institution.
BIOGRAPHICAL INFORMATION
1. You may type or “cut & paste” directly into the form field below.
2. You may upload your biography through the document upload field below.
Biographical Information:
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Biographical Document
Max. file size: 456 MB.
Please limit your bio information to a maximum of 175 words.
NOTE: MMEA reserves the right to edit bio information, as needed.
Upload Clinician Head Shot Image
Max. file size: 456 MB.
Upload Clinician Contract/Agreement
Max. file size: 456 MB.

Thank You.
You will receive an electronic copy of the clinician/presenter agreement from Paul Swofford.
Please sign and submit the agreement as soon as possible after it has been received.
Comments
This field is for validation purposes and should be left unchanged.

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September 15-16, 2024

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