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CT COLT Fall Conference Co-Presenter Resume

ALL presenters (and co-presenters), in addition to uploading or attaching a Resume on this form, MUST email a file copy of it (in MS Word document), to rdemeijctcolt@yahoo.com Thank you!

Workshop Proposal I.D. *

You may or may not know this REQUIRED I.D. If you DO NOT know it, please get it from the Main Workshop Presenter (who completed the Workshop Proposal Form) BEFORE you continue or "submit" this R?ɬ�sum?ɬ� form. The Workshop Proposal I.D. consists of 7 characters: the FIRST 3 letters of the Main Presenter' LAST name, followed immediately by the LAST 4 digits of the Main Presenter's PHONE number. Example: dem9238. Please Make sure you have the SAME one the Main Presenter used before.
Today's Date: * / MM / DD YYYY
Co-Presenter's Name: * First Last
Co-Presenter's Current Home Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Co-Presenter's (most reliable) Phone number: * - (###) - ### ####
Co-Presenter's (most reliable) email address: *
UPLOAD or ATTACH your Resume (from a computer file) here: *

PLEASE NOTE: because you are a (co-)presenter for a workshop for which participants will receive CEUs, the Resume of EACH & EVERY presenter, MUST be available to the CT State Department of Education upon request anytime, for up to three years after the completion of this Workshop (Activity).
Do Not Fill This Out