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MFSC Speaker Packet

  1. Thank you for agreeing to serve as a speaker or panelist for the 2011 Michigan Family Support Council (MFSC) Fall Training Conference. Complete the following online speaker form and download the 2011 MFSC Speaker Guide.

    Required Materials and Due Dates:

    • Speaker Biography, Speaker Contract, Workshop Description, Presentation Outline - due July 22, 2011 *
    • Audiovisual Needs – due no later than August 5, 2011 *
    • Conference Registration and Participant Handout (soft copy)– due September 23, 2011 *
    • Participant Handouts (75 hard copy) – bring to conference

    If you have any questions about these materials, due dates or for additional information, please contact any of the following individuals: (* items should be returned to Lisa Robinson by the due date indicated)

    MFSC Program Coordinator
    Pam Sala
    248-858-0422
    program@mifsc.org     		Speaker Chair:
    Lisa Robinson
    2137 Oakman Blvd
    Detroit, MI 48238
    313-224-5811
    speakerpkts@mifsc.org

  2. Step 1 - Workshop Information

  3. Name(*)
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  4. Position(*)
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  5. Office Address(*)
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  6. City
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  7. State(*)
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  8. Zipcode(*)
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  9. Phone(*)
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  10. Email(*)
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  11. Workshop Title(*)
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    This will be the title that appears in the conference brochure
  12. Workshop Description(*)
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    Please provide us a brief description of the workshop. It should be two or three sentences at most
  13. Who else will be speaking with you?
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  14. Biographical Information (for introduction)(*)
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  15.  

  1. Step 2 - Equipment Needs

  2. Microphones
  3. Number of Wireless Hand Held
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  4. Number of Lapel
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  5. Number of Wired Hand Held
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  6. Projectors
  7. Number of DLP Projectors
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  8. Number of Overhead Projectors
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  9. Number of TV Monitors
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  10. Video Players
  11. Number of DVD Players
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  12. Number of VCR Players
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  13. Miscellaneous
  14. Number of Flipcharts and Markers
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  15. Number of Easels
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  16. Number of Extension Cords and Outlets
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  18. Number of Tables
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  19. Number of Large Video Screens
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  20. Other (Please list type and quantity)
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  21.  

  1. Step 3 - Sign Release

  2. By submitting this request, you agree to the following Release.

  3. I authorize MFSC to record, copy and transcribe my presentation to the conference, including oral, written and visual materials, and to compile my presentation with other presentations as part of the conference educational materials.

    I further authorize MFSC to distribute or sell my presentation, through written or electronic media, to individual conference participants and post conference, to interested non-participants, and for no other purposes.

    This release applies only to my presentation and materials delivered at this MFSC conference and in no way limits my own use of my own materials. Any copyright of my presentation and materials shall continue to be my property or that of my company. My presentation will not infringe any copyright or include any material that is libelous, scandalous, or an invasion of privacy.

    Please be advised that MFSC reserves the right to use your name, photography, and presentation title in marketing material promoting the conference.

  4. (*)
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