FSMTA 2022 Conference Workshop Proposal Form

FSMTA 2022 Conference Workshop Proposal Form
~ Submission Deadline: June 30, 2022 ~
Name *

First Name Last Name
E-mail *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number: *
Are you a Collegiate Member? *

Yes No
Title of Proposed Program *
Equipment needed (if any)
Day/Time Preference (cannot be guaranteed)

Friday AM Friday PM Saturday AM Saturday PM
Brief summary of proposal - 150 word limit (each session is 50 mins long) *
Please include a 150—200 word bio *
Please upload a photo of yourself to be used in the conference book if your workshop is chosen (Acceptable files: JPG, PNG, GIF, and PDF) *

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Please direct any questions to Scheduling/Programs Chair, Mary Seal, at maryseal@gmail.com. Preference will be given to those proposals which best fulfill the Conference theme, "Breaking Barriers Through Music." Please submit form by June 30, 2022.
Date

Month Day Year
Date
This form may also be printed out and sent via USPS to Mary Seal, 6861 St Edmunds Loop, Ft. Myers, FL 33966
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