California Unified Program Training Conference

California Unified Program Training Conference,
12th Annual Annual Conference - Submit Biography

Attention--CUPA Conference 2010 Instructors and Facilitators/Moderators

Please take a moment of your time to complete the following biography questionnaire. We will be distributing a biography handout at the Conference, as we did last year, and would appreciate your input.

NOTE: If you submitted a bio last year, you can (open a new browser window) and then copy your information from the previous year and paste it into this form.

Required fields = *

Name of Class(es):
*
First Name:
*
Last Name:
 *
Job/Position Title: *
Agency/Company: *
Mailing Address:
City:
State:
Zip:
Phone:
E-Mail: *
OK to print this information in the CUPA Conference biography list?
Please compose a brief (100 words or less!) biography including facts such as: education, career highlights, specialty field.*
Please let us know if there will be any additional speakers or special AV needs.
Please enter the word above in the text box below.
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