11th Annual WYAA State Conference Presenter Application
RequiredRequired Question(s)
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.
Presenter Biography
Please include education and experience. 
 

350 characters left.
3.
Co-Presenter Information
Please share information about your co-presenter(s) if applicable. Include name, title, company name, and bio. 
 

350 characters left.
4.
Workshop Title
This will be used to promote the session in the Conference Guide. 
 

350 characters left.
5.
Workshop Abstract
This abstract will be used to promote the session in the Conference Guide. 
 

350 characters left.
6.
Target Audience
Mark one that fits best. These categories will help WYAA staff organize your presentation into relevant tracks so that attendees may better tailor their experience. 
Administrators / Program Directors/Supervisors
Program Staff
Community Partners
Trainers
Evaluators
School/Foundation Board Members, Partners
7.
Topics Covered
Mark one that fits best. These categories will help WYAA staff organize your presentation into relevant tracks so that attendees may better tailor their experience.

Professional Development: Topics such as quality practices, career development, staff development, STEM/STEAM training, literacy and grade level reading training, the arts and humanities, and behavior management.
Partnership Development: Topics such as system-building, collaboration, family involvement, working with policymakers, chambers of commerce, business leaders, law enforcement, marketing and advocacy.
Child & Youth Development: Topics such as understanding ACES, trauma-informed care, restorative justice, child abuse and neglect, and inclusion.
Career Education and Workforce Development: Topics such as CTE, post-secondary education, service learning, and internships.
Health, Wellness, and Mindfulness: Topics such as SEL, nutrition, physical activities, the opioid crisis and suicide prevention.
8.
Special Accommodations or Needs
Please inform the WYAA staff of any special accommodations you may need during the conference. 
 

350 characters left.
Required 9.
Disclaimer
Presenters are expected to provide their own materials and supporting tools, including their own laptops. Projectors will be provided. Presenters who wish to participate in the conference as an attendee as well as a presenter are invited to register with a special 10% discount. Use code "WYAASpecial." Visit: https://events.bizzabo.com/213679

The 11th Annual WYAA State Conference on Afterschool Programs may be recorded for noncommercial, promotional and educational purposes. By registering to attend the Conference and in connection with my participation in the Conference, I consent to the use of my name, voice, photograph, video or other likeness in the promotional and other materials of the Conference without payment or other consideration made to me. I waive the right to inspect or approve any such use of my name, likeness or voice. I expressly release the Conference sponsors, their trustees, officers, agents, employees, licensees, and assignees, from any and all claims, including copyright, privacy, and defamation arising out of any broadcast, exhibition, publication, or promotion of this Conference. I understand that the Conference may also be available on the sponsors' websites in live and archived formats.
Yes, I accept these terms.
No