Register to Be a Speaker TIW - Speaker Form If you have questions, contact Stephanie Musgrove at smusgrove@bestprep.org or 763-233-6328. Contact Information First Name Familiar Name/ Nickname Last Name Ethnicity: To ensure we can accurately report on our volunteer base, please select the ethnicity you identify with most.Please select... American Indian Asian Black Hispanic Two or More Races White Prefer Not to Disclose Gender PronounsPlease select... He/him/his She/her/hers They/them/theirs Ey/em/eirs Ze/zir/zirs Co/co/co’s My pronouns are not listed Prefer not to disclose Title Company/ Organization Company Street Address Mail Stop City State Zip Work Email Work Phone Personal Email Cell Phone Preferred EmailPlease select... Work Personal Preferred PhonePlease select... Work Personal Twitter Handle Biographical Paragraph: Please write a short biography we can include on the TIW website. You may want to include information about your job/position, place of employment, education and professional background, prior speaking experiences, awards received, etc. (100 words maximum) Session Information Session Title Sessions are held Monday, July 26 – Wednesday, July 28, 2021. Sessions are up to 45 minutes in length and may use a variety of formats. Please write a short paragraph describing your session; the description should explain what will be discussed and what attendees can expect to learn or do while attending. Please also include the outcomes and goals of the session. This paragraph will appear in the workshop’s agenda from which participants select their sessions. (100 words maximum) Session TypePlease select... Keynote Hands-on Breakout Demonstration Breakout Other Session date and time: Please select the dates and times you are available to present. Sessions are offered once. BestPrep will use this information to schedule your session. All sessions are up to 45 minutes in length.Monday, July 26 at 11:30 a.m. – 12:15 p.m.Tuesday, July 27 at 10:10 a.m. – 10:55 a.m.Wednesday, July 28 at 9:10 a.m. – 9:55 a.m.Wednesday, July 28 at 10:10 a.m. – 10:55 a.m. Technology Needs: All sessions will be delivered virtually. Please specify any special technology or programs you or attendees of your session will need. Will you have access to a high-speed and high-functioning internet connection for your session? Due to the virtual nature and digital platform of TIW, this is a requirement of all presenters to ensure a good experience for both you and your session attendees. If no, we will work with you to provide options.YesNo Other information: Please share any other information you’d like attendees to know about your presentation. Preference for Teacher Tech Level: Indicate the level of technology expertise that is best suited for attendees of this presentation.Please select... No Preference Beginner Intermediate Advanced All levels Best Participants: BestPrep would like presenters to identify which educators will benefit most from the content being delivered in their session. Please help us by selecting from the list below.Please select... No Preference Elementary Junior High High School All Levels Video and audio recording will occur throughout TIW. By checking “Yes” below, I give permission to BestPrep to use my likeness including my name, written, spoken or recorded words, and/or picture in promotional materials, news releases, inclusion on the BestPrep webpage, and/or other purposes deemed fit by BestPrep or its sponsors.YesNo Please click the "Submit" button below. The application may take a minute to process, so please wait until the confirmation screen opens. Thank you for your submission! Contact Information
