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Presenter Information
Course Presenters: Please complete all required fields
and submit this registration form. This information is needed for internal use and for applying to the MN POST Board and the MN ABMDI Board for course credits. If presenting more than one course during any given conference,
please include all course titles and outlines in the fields provided below.
Thank you!
Presenter(s) Registration Form
*
Indicates required field
Name:
*
First
Last
Employer:
*
Current employer or agency retired from.
Employer Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Preferred Email Address:
*
Preferred phone number (please include dashes):
*
Are you a member of the MN Division of the IAI?
*
Yes
No
Membership is not mandatory in order to present at our Conferences.
Would you like to become a member?
*
Already a member
Yes
No
If you wish to become a member, please complete the form found by clicking
here
and submit it to the Secretary/Treasurer no later than Thursday morning during the Conference. If you join at the Conference, the application fee is waived as well as dues for your first full year of membership. Thank you!
Official Title:
*
Forensic Scientist, Medical Examiner, County Attorney, etc.
IAI certifications, if any:
*
CLPE, CSA, etc.
Complete below fields
regarding Course 2 (if applicable):
Course Title:
*
What is the format of your presentation? Choose all that apply:
*
Lecture/Standard Presentation
Panel Discussion
Group Discussion
Hands-on Activities
Video Presentation
Outdoor Instruction
Other
Describe 'Other' format here:
*
If your presentation is already scheduled, please complete the following three items accordingly. If your presentation has not been scheduled, please select your preferences. All items are required.
Time required for your presentation:
*
1/2 hour
1 hour
1 1/2 hours
2 hours
3 hours
More - specify in course outline below
Which day do you prefer for your presentation?
*
Thursday
Friday
What is your time preference?
*
Morning
Afternoon
Brief course outline:
*
Please provide a one-paragraph outline of your presentation.
Course Title 2:
*
What is the format of your presentation? Choose all that apply.
*
Lecture/Standard Presentation
Panel Discussion
Group Discussion
Hands-on Activities
Video Presentation
Outdoor Instruction
Other
Describe 'Other' format here.
*
Time required for your presentation 2:
*
1/2 hour
1 hour
1 1/2 hours
2 hours
3 hours
More - specifiy in course outline below
Brief course outline 2:
*
Please provide a one-paragraph outline of your presentation.
Will you attend the banquet on Thursday night? Dinner is on us!
*
Yes
No
Will you attend any or all other presentations during the conference?
*
Yes, both Thursday and Friday
Yes, Thursday only
Yes, Friday only
No
If attending other presentations, do you require an attendance certificate?
*
Yes
No
N/A
If not attending presentations, choose N/A.
For attendance certificate, enter POST number (if applicable):
*
Please provide this number if you wish to receive MN POST credits for attendance.
For attendance certificate, enter ABMDI number (if applicable)
*
Please provide this number if you wish to receive MN ABMDI credits for attendance.
Please make your own hotel reservation(s) via information found on our homepage. Be sure to view the reimbursement policy by rolling over the question mark. Will you require hotel reimbursement?
*
Yes
No
Hotel reimbursement is offered for one night only. You will be issued a check, once you submit your receipt to the Secretary/Treasurer during the conference. Sorry, post-conference submissions will not be honored.
Upload your CV or Bio here.
*
Max file size: 20MB
CV/Bio information is required for the MN POST Board. PDF and MS Word documents accepted. (Word documents preferred)
Upload any additional files here.
*
Max file size: 20MB
Use this to upload any additional information that should be included regarding the presentation. MS Word or PDF formats preferred.
Upload any additional files here.
*
Max file size: 20MB
Use this to upload any additional information that should be included regarding the presentation. MS Word or PDF formats preferred.
Upload any additional files here.
*
Max file size: 20MB
Use this to upload any additional information that should be included regarding the presentation. MS Word or PDF formats preferred.
Upload any additional files here.
*
Max file size: 20MB
Use this to upload any additional information that should be included regarding the presentation. MS Word or PDF formats preferred.
Upload any additional files here.
*
Max file size: 20MB
Use this to upload any additional information that should be included regarding the presentation. MS Word or PDF formats preferred.
Special note
: Please
email the Secretary/Treasurer
directly to ask for information regarding travel expense reimbursements
.
**If there are co-presenters,
please continue by inputting information below. Once finished,
submit the form by clicking the 'Submit Form' button at the bottom of the page.**
**If there are
no
co-presenters,
please scroll to the bottom and
submit the form by clicking the button.**
Do you have co-presenters? Please list them here.
CO-PRESENTER #1
Co-presenter #1 Name:
*
First
Last
Co-presenter # 1 Employer:
*
Current employer or agency retired from.
Co-presenter #1 Employer Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Co-presenter #1 Preferred Email Address:
*
Co-presenter #1 Preferred Phone Number (please include dashes):
*
Co-presenter #1, upload your CV or Bio here.
*
Max file size: 20MB
CV/Bio information is required for the MN POST. Board. PDF and MS Word documents accepted. (Word documents preferred)
Co-presenter #1, please make your own hotel reservation(s) via information found on our homepage. Be sure to view the reimbursement policy by rolling over the question mark. Will you require hotel reimbursement?
*
Yes
No
Hotel reimbursement is offered for one night only. You will be issued a check, once you submit your receipt to the Secretary/Treasurer during the conference. Sorry, post-conference submissions will not be honored.
Co-presenter #1, are you a member of the MN Division of the IAI?
*
Yes
No
Co-presenter #1, would you like to become a member?
*
Yes
No
Already a member
If you wish to become a member, please complete the form found by clicking
here
and submit it to the Secretary/Treasurer no later than Thursday morning during the Conference. If you join at the Conference, the application fee is waived as well as dues for your first full year of membership. Thank you!
Co-presenter #1 Official Title:
*
Forensic Scientist, Medical Examiner, County Attorney, etc.
Co-presenter #1 IAI Certifications (if any):
*
CLPE, CSA, etc.
Co-presenter #1, will you attend the banquet on Thursday night? Dinner is on us!
*
Yes
No
Co-presenter #1, will you attend any or all other presentations during the conference?
*
Yes, both Thursday and Friday
Yes, Thursday only
Yes, Friday only
No
Co-presenter #1, if attending other presentations, do you require an attendance certificate?
*
Yes
No
N/A
If not attending presentations, choose N/A.
Co-presenter #1, for attendance certificate, enter POST number (if applicable):
*
Please provide this number if you wish to receive MN POST credits for attendance.
Co-presenter #1, for attendance certificate, enter ABMDI number (if applicable):
*
Please provide this number if you wish to receive MN ABMDI credits for attendance.
CO-PRESENTER #2
Co-presenter #2 Name:
*
First
Last
Co-presenter #2, upload your CV or Bio here.
*
Max file size: 20MB
CV/Bio information is required for the MN POST. Board. PDF and MS Word documents accepted. (Word documents preferred)
Co-presenter #2 Employer:
*
Current employer or agency retired from.
Co-presenter #2 Employer Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Co-presenter #2, please make your own hotel reservation(s) via information found on our homepage. Be sure to view the reimbursement policy by rolling over the question mark. Will you require hotel reimbursement?
*
Yes
No
Hotel reimbursement is offered for one night only. You will be issued a check, once you submit your receipt to the Secretary/Treasurer during the conference. Sorry, post-conference submissions will not be honored.
Co-presenter #2, are you a member of the MN Division of the IAI?
*
Yes
No
Co-presenter #2, would you like to become a member?
*
Yes
No
Already a member
Co-presenter #2 Preferred Email Address:
*
Co-presenter #2 Preferred Phone Number (please include dashes):
*
Co-presenter #2 Official Title:
*
Forensic Scientist, Medical Examiner, County Attorney, etc.
If you wish to become a member, please complete the form found by clicking
here
and submit it to the Secretary/Treasurer no later than Thursday morning during the Conference. If you join at the Conference, the application fee is waived as well as dues for your first full year of membership. Thank you!
Co-presenter #2 IAI Certifications (if any):
*
CLPE, CSA, etc.
Co-presenter #2, will you attend the banquet on Thursday night? Dinner is on us!
*
Yes
No
Co-presenter #2, will you attend any or all other presentations during the conference?
*
Yes, both Thursday and Friday
Yes, Thursday only
Yes, Friday only
No
Co-presenter #2, if attending other presentations, do you require an attendance certificate?
*
Yes
No
N/A
If not attending presentations, choose N/A.
Co-presenter #2, for attendance certificate, enter POST number (if applicable):
*
Please provide this number if you wish to receive MN POST credits for attendance.
Co-presenter #2, for attendance certificate, enter ABMDI number (if applicable):
*
Please provide this number if you wish to receive MN ABMDI credits for attendance.
CO-PRESENTER #3
Co-presenter #3 Name:
*
First
Last
Co-presenter #3 Employer:
*
Current employer or agency retired from.
Co-presenter #3 Employer Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Co-presenter #3, upload your CV or Bio here.
*
Max file size: 20MB
CV/Bio information is required for the MN POST. Board. PDF and MS Word documents accepted. (Word documents preferred)
Co-presenter #3, please make your own hotel reservation(s) via information found on our homepage. Be sure to view the reimbursement policy by rolling over the question mark. Will you require hotel reimbursement?
*
Yes
No
Hotel reimbursement is offered for one night only. You will be issued a check, once you submit your receipt to the Secretary/Treasurer during the conference. Sorry, post-conference submissions will not be honored.
Co-presenter #3, are you a member of the MN Division of the IAI?
*
Yes
No
Co-presenter #3, would you like to become a member?
*
Yes
No
Already a member
Co-presenter #3 Preferred Email Address:
*
Co-presenter #3 Preferred Phone Number (please include dashes):
*
Co-presenter #3 Official Title:
*
Forensic Scientist, Medical Examiner, County Attorney, etc.
If you wish to become a member, please complete the form found by clicking
here
and submit it to the Secretary/Treasurer no later than Thursday morning during the Conference. If you join at the Conference, the application fee is waived as well as dues for your first full year of membership. Thank you!
Co-presenter #3 IAI Certifications (if any):
*
CLPE, CSA, etc.
Co-presenter #3, will you attend the banquet on Thursday night? Dinner is on us!
*
Yes
No
Co-presenter #3, will you attend any or all other presentations during the conference?
*
Yes, both Thursday and Friday
Yes, Thursday only
Yes, Friday only
No
Co-presenter #3, if attending other presentations, do you require an attendance certificate?
*
Yes
No
N/A
If not attending presentations, choose N/A.
Co-presenter #3, for attendance certificate, enter POST number (if applicable):
*
Please provide this number if you wish to receive MN POST credits for attendance.
Co-presenter #3, for attendance certificate, enter ABMDI number (if applicable):
*
Please provide this number if you wish to receive MN ABMDI credits for attendance.
CO-PRESENTER #4
Co-presenter #4 Name:
*
First
Last
Co-presenter #4, upload your CV or Bio here.
*
Max file size: 20MB
CV/Bio information is required for the MN POST. Board. PDF and MS Word documents accepted. (Word documents preferred)
Co-presenter #4 Employer:
*
Current employer or agency retired from.
Co-presenter #4 Employer Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Co-presenter #4 Preferred Email Address:
*
Co-presenter #4 Preferred Phone Number (please include dashes):
*
Co-presenter #4, please make your own hotel reservation(s) via information found on our homepage. Be sure to view the reimbursement policy by rolling over the question mark. Will you require hotel reimbursement?
*
Yes
No
Hotel reimbursement is offered for one night only. You will be issued a check, once you submit your receipt to the Secretary/Treasurer during the conference. Sorry, post-conference submissions will not be honored.
Co-presenter #4, are you a member of the MN Division of the IAI?
*
Yes
No
Co-presenter #4, would you like to become a member?
*
Yes
No
Already a member
If you wish to become a member, please complete the form found by clicking
here
and submit it to the Secretary/Treasurer no later than Thursday morning during the Conference. If you join at the Conference, the application fee is waived as well as dues for your first full year of membership. Thank you!
Co-presenter #4 Official Title:
*
Forensic Scientist, Medical Examiner, County Attorney, etc.
Co-presenter #4 IAI Certifications (if any):
*
CLPE, CSA, etc.
Co-presenter #4, will you attend the banquet on Thursday night? Dinner is on us!
*
Yes
No
Co-presenter #4, will you attend any or all other presentations during the conference?
*
Yes, both Thursday and Friday
Yes, Thursday only
Yes, Friday only
No
Co-presenter #4, if attending other presentations, do you require an attendance certificate?
*
Yes
No
N/A
If not attending presentations, choose N/A.
Co-presenter #4, for attendance certificate, enter POST number (if applicable):
*
Please provide this number if you wish to receive MN POST credits for attendance.
Co-presenter #4, for attendance certificate, enter ABMDI number (if applicable):
*
Please provide this number if you wish to receive MN ABMDI credits for attendance.
Submit Form
