Presenter Information Form Please complete this form and email it to Nathan Hoge and Courtney Custer at the following email addresses: Nathan Hoge – Courtney Custer- What is the title of the presentation? Name & Credentials of Presenter(s): Location: Date: Time: Do you have preference on the maximum number of attendees? (* If the training is taking place in Dr. Pierce’s office, the maximum capacity is 16 attendees, or 12 attendees if you need tables and chairs) Do you require any special set up? (i.e., chairs in a semi-circle or chairs with tables) *If so, please make sure to arrive early to set up. Will you need a projector? *If so, please contact Desiree Fragua by email at to reserve a projector. Also, make sure to arrive early enough to set it up. Will you be offering CE Hours? If so, please complete the NBCC Training Form. These forms can be obtained on the SWFGC website or from Courtney Custer or Nathan Hoge. These 2 forms must be submitted by email to Courtney Custer and Nathan Hoge. Will you be providing handouts? If so, you must provide a copy to Courtney Custer and Nathan Hoge. Is there any other information about your training you think we should know?
Presenter Information Form Please complete this form and email it to Nathan Hoge and Courtney Custer at the following email addresses: Nathan Hoge – Courtney Custer- What is the title of the presentation? Name & Credentials of Presenter(s): Location: Date: Time: Do you have preference on the maximum number of attendees? (* If the training is taking place in Dr. Pierce’s office, the maximum capacity is 16 attendees, or 12 attendees if you need tables and chairs) Do you require any special set up? (i.e., chairs in a semi-circle or chairs with tables) *If so, please make sure to arrive early to set up. Will you need a projector? *If so, please contact Desiree Fragua by email at to reserve a projector. Also, make sure to arrive early enough to set it up. Will you be offering CE Hours? If so, please complete the NBCC Training Form. These forms can be obtained on the SWFGC website or from Courtney Custer or Nathan Hoge. These 2 forms must be submitted by email to Courtney Custer and Nathan Hoge. Will you be providing handouts? If so, you must provide a copy to Courtney Custer and Nathan Hoge. Is there any other information about your training you think we should know?
SWFGC_Training_Form.docx