Presenter Registration Form

Keeping Volunteers Connected: COVID-19 Edition Engage NJ Student Conference 2021 This conference is taking place virtually as we begin to emerge out of a global pandemic. We have been social distancing for almost a year, wearing masks, and not interacting in crowded indoor spaces. Yet, despite all this, as people, as students, as a democracy, we HAVE TO STAY CONNECTED. ***To learn more about the presentation themes, visit: https://www.engagenj.org/conference-themes **** **Please register by February 12th, 2021, at 12:00 pm.**

First Name:

Last Name:

Preferred Pronouns:

Title:

(example: coordinator, manager, student, etc.)

Other Presenters:

(Please include their name, profession and institution, if applicable)

{name}

Institution or Business:

Email Address:

Please select all that apply:

Year:

Freshman
Sophomore
Junior
Senior
Graduate Student
not applicable

What are your affiliations on campus?

(Please check all that apply)

Other affiliations not listed above:

Which of the following topics will your presentation address? (Must select one)

What form will this presentation take?

Overview of your proposed presentation, workshop, or panel -- Narrative

One to two paragraph overview of: a) Content that addresses the theme b) Role of the audience (especially in a virtual setting) c) Any Technology needs

{name}

Attachments

(Optional)

Attach file

Drop files here

Any additional information we should know:

(Optional)

{name}

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