Presenter Acceptance Form - National Association of Black Social Workers (NABSW)

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Presenter Acceptance Form

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Please reference your Presenter Acceptance Letter to fill in the Title and Date for your Workshop.
If you must decline NABSW's Acceptance to Present, you must fill out the required sections of the form and click submit.
Underlined fields contain important additional information. Please hover your cursor over these fields to view.
Please complete this form by September 21, 2016.
Please note that this form does NOT register you for conference. This form confirms your acceptance of your workshop proposal ONLY. You still must register and pay for conference by the Pre-Registration Due Date.

First Name *		Last Name *
Email Address *
Phone
Type of Presenter *	Primary Presenter Co-Presenter
Presenter Acceptance/Denial If you have declined to present, you must still complete the required (indicated by an ) sections of this form and click submit.	Yes, I accept your invitation to present at the 2017 National Conference Sorry, I have declined your invitation to present at the 2017 National Conference
Title of Workshop (As Stated in Confirmation Letter) *
Select Your Workshop Time Slot (As Stated in Confirmation Letter) *	Wednesday 9:30AM Wednesday 1:00PM Wednesday 2:00PM Wednesday 4:00PM Thursday 10:30AM Thursday 4:00PM Friday 11:00AM
Audiovisual Request Confirmation *Please note, NABSW does not provide LCD projectors for Power Point Presentations. NABSW does not provide Wifi connection codes. Please come prepared with an LCD projector (if necessary) and any applicable adapters, cords, etc for your devices. Also, please come prepared with a reliable WiFi router/connection if required for your presentation.	LCD Hook-Up (Power Strip, Screen ONLY) LCD Hook-Up (Power Strip, Screen ONLY) and Flip Chart/Easel Flip Chart/Easel None I have declined to present at the 2017 National Conference
Name: First, Last, Credentials *		Organization *If retired, please indicate. If none, type N/A
Pre-Registration Confirmation *All primary and additional presenters must pre-register for the conference in order to present at the 2017 Annual Conference. Your workshop and/or name will not be included in the final program if you are not pre-registered for the conference by the pre-registration due date.	I understand all primary and additional presenters must pre-register by the pre-registration date I have declined to present at the 2017 National Conference
Consent for Use of Photographic Images * Registration and attendance at, or participation in the NABSW Annual Conference constitutes an agreement by the registrant to NABSW’s use and distribution (now and in the future) of the registrant or attendee’s image or photographs, video recordings, electronic reproductions and audiotapes of such events and activities.	I agree to NABSW's Use of Photographic Images I have declined to present at the 2017 National Conference
Accuracy of Information *Information submitted in this form will be used in printed conference materials, including the Conference Brochure, the Conference Souvenir Journal, Conference Name Badges, and other written conference related information.	I confirm that all information submitted has been verified and is correct I have declined to present at the 2017 National Conference
Audiovisual Requests *Please note, NABSW does not provide LCD projectors for Power Point Presentations. NABSW does not provide Wifi connection codes. Please come prepared with an LCD projector (if necessary) and any applicable adapters, cords, etc for your devices. Also, please come prepared with a reliable WiFi router/connection if required for your presentation.	I understand that I am responsible for an LCD Projector, Wifi Service and cords/adaptors if needed I have declined to present at the 2017 National Conference
Co-Presenter Substitutions *Changes/Substitutions for co-presenters must be approved by the National Conference Co-Chairs.	I understand that co-presenter changes/substitutions must be pre-approved I have declined to present at the 2017 National Conference
Certified Presenters *Only persons certified by NABSW in the Presenter Acceptance Letter are allowed to present.	I understand NABSW's Presenter Policy I have declined to present at the 2017 National Conference

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