You can use this electronic form or download it in pdf or print this page and mail the completed page to:
Tiffany Reardon
Skyline College
3300 College Dr.
San Bruno CA 94066
Questions?
Your Name
Title of workshop. Try to make it short and catchy! Make sure that a hands-on activity is planned.
Workshop for Girls (6th - 12 th grades) Adults (Parents & teachers)
Short Description of Your Workshop. Make sure that a hands-on activity is planned and provide 5-20 words for publication in conference brochure:
Check here if there are other presenters for your sessions. Please list them.
Use additional copies of Form I to provide the following information for each presenter.
Your job title
Company
Company address City Zip
Company address
City
Zip
Work phone:
Area code
Number
Email address
Home Address
City Zip
Home phone:
Preferred mailing: Office Home
Yes, I would like a letter sent to my supervisor about my participation.
Name of Supervisor: Title of Supervisor: Address if different from your work address:
Name of Supervisor:
Title of Supervisor:
Address if different from your work address:
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