4th Annual

Science Conference Presenter Application

Presenter Information

Name / Job or Title
Work Phone / E-mail
School District / Campus
Mailing Address / Fax Number

Co-Presenter Information

Name / Job or Title
Work Phone / E-mail
School District / Campus
Mailing Address / Fax Number

Presentation Details

45 minutes
90 minutes
Title of Presentation
Description of Presentation to be posted (limit of 50 words)
Room Needs / Content (Check all that apply) / Themes (Check all that apply)
Computer / Biology / STAAR Focus
Electricity / Chemistry / Instructional Strategies
Internet / Earth Science / Notebooking
Lab Tables / Environmental Science / Science Process Skills
Projector / General Science / Science, Technology, Society
Water/Sink / Life Science / Special Populations in Science
Other (please describe) / Physics
Grade Level
Grades K-2
Grades 3-5
Grades 6-8
Grades 9-12

Please fax or e-mail Presenters Application prior to December 2, 2011 to:

Fax 713-744-0646 E-mail

Science Solutions l Phone 713-744-6577

7145 W. Tidwell l Houston, TX 77092