Call for Presenters If you would like to present an educational session at HTM Mixer Kansas City please complete the form below. The deadline for submissions is July 1, 2021.Your Name* First Last Company* Job Title* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Cell Phone*This information will only be used if staff needs to contact the presenter on-site at the event.Education, Certifications, Credentials, and Work Experience:* I will upload my Curriculum Vitae or resumé, which will include this information. I will enter my information on this form. Upload CV or Resumé FileMax. file size: 200 MB.Please upload either a Word document or PDF.Please provide a recent headshotAccepted file types: jpg, gif, png, Max. file size: 200 MB.Please upload either a jpg, gif, or png.Education (May submit curriculum vitae or resumé.)If choosing to submit required information via uploaded file, please indicate "n/a" in the text box below.Certifications/CredentialsPractice/Work ExperienceProposed Presentation InformationLecture Title* Objectives (What will the participant learn as a result of this activity?)*Presentation description in sentence format*To whom will the content of your presentation be geared towards?* IT/Technical Management Compliance Permission to record presentation?* Yes No Educational presentations will occur during 1-hour time slots. By presenting this proposal for a presentation you agree that you are available to present on the day of the event.** I acknowledge that I have read and agree to the terms of the submission process.
