California Conference: Application for Presentation Sessions

California Conference: Application for Presentation Sessions

This application is for presentations at the 2025 NMSHSA California Conference, from April 14 to 16, 2025.

Lead Presenter Information

First Name

Last Name*

Email Address*

Phone Number*

Direct Line or Cell Phone

Phone

Job Title*

Bio*

Approx. 60 words, including how many years of expertise on the subject he/she is presenting

Company/Agency

Presenter Employer Information

Company/Agency Name*

Street Address*

Line 1

Street Address

Line 2

City*

State*

Zip Code*

Phone*

Phone

Co-Presenter Information (If any)

Only one co-presenter is allowed per presentation.

First and Last Name

Email Address

Phone Number

Direct Line or Cell Phone

Phone

Job Title

Bio

Approx. 60 words, including how many years of expertise on the subject he/she is presenting

Employer Information

If different from lead presenter

Information about the Proposed Presentation

The presentation must be a 90-minute long training/workshop. Please complete a separate form for each additional proposed presentation. If you have any questions, please email jrios@nmshsa.org

Presentation Title*

Brief Description*

Please write 4 to 5 sentences

Presentation Primary Track

(California Conference Tracks)

Early Childhood Education - IT/Preschool

Behavioral and Social/Environmental Health

Family Child Care/Specialist Center-Based

Parent, Family, Child/Family Engagement (PFCE)

Leadership Hot Topics: Admin, NPRM, FA1, HR, CLASS, Fiscal

Target Audience

Select all that apply.

Head Start Preschool Teacher

Early Head Start Teacher

Nutrition/ Food Services Staff

Educ. Coord./ Specialists

ERSEA Staff

Technology Staff

Disabilities Services Staff

Family Services Staff

Board Members

Parents

Managers/Directors

Health Staff

Mental Health Staff

Transportation Staff

Administration Staff

Other Staff

If you selected Other, please describe:

Send me a copy of my responses

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