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Call for Proposals for the
2019 4C Leadership and Early Childhood Conference

All proposals must be submitted by April 19, 2019. Proposals that are received by the deadline will be reviewed by 4C for Children Selection Committee to make final determinations. Notification of acceptance or denial will be sent by May 31, 2019.

If you have questions or need special assistance or consideration regarding the proposal or presentation, please contact proposal@4cforchildren.org.

Required fields are marked with an asterisk (*).

First Name:*
Last Name:*
Organization:*
Cell Phone:*
Alternate Phone:
Email:*
Co-Presenter:
(if applicable)
Topic:*
Title of Workshop:*
(maximum 8 words)
(The title should be creative and grab attendees’ attention, while being descriptive enough to give conference attendees an understanding of what the workshop will address.)
Description:*
Target Audience:*  
What is the ideal knowledge and experience level for participants of this workshop?

Kentucky Credential Information (if applicable)
Trainer Level:
Credential Number:
Expiration:  

Ohio Registry Information (if applicable)
OPIN:  

Please indicate which date(s) you are available.
Length of Workshop:
Are you willing to repeat the session?
 
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