Presenter Form–Senior Theatre Program in Chicago

SENIOR THEATRE FOCUS GROUP
As
sociation for Theatre in Higher Education (ATHE)
Annual Conference
August 11-14, 2016 Palmer House Hilton
Chicago, Illinois

PRESENTER/PERFORMER SIGN‐UP FORM

Name: ______________________________________________
Address: ______________________________________________
______________________________________________
______________________________________________

Phone: ______________________________________________
E‐mail: ______________________________________________

Professional Affiliation:___________________________________

Presentation Title: ____________________________________
Description of content of your presentation:

 

Would your presentation work as a panel, workshop, or performance?

What would be your technical requirements/AV? (One item is free to us. ATHE pays the fee. For more than one, you’ll need to submit payment by May 1, 2016. Please only request pieces you’ll use.)

Describe room set up:

Length of presentation: ___________________________________________
Can it be trimmed/expanded to fit with other presenters? _____________

E-mail this form to Bonnie L. Vorenberg at bonniev@seniortheatre.com

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