Instructor Form

Please complete this form by October 4th, 2025.

Instructor Name

Session Title

Session Date

Company

Company Contact Name

Street Address

City

Region/State/Province

Postal / Zip code

Cell Phone (Emergency Use)

Email

Additional Email

1. Honorarium: Please denote if you can accept an honorarium for instructing at $35/hr Required

Yes

No

2. Presentation & Materials: I allow my presentation to be posted to the CECTI Website for student download? (An outline will suffice if "No") Required

Yes

No

Please submit presentation below, if not available or too large of a file, please email your presentation to info@cecti.org Thank you.

Submit Presentation (If Available)

Max 15MB (Otherwise Email Info@CECTI.org)

Please confirm the following by checking the box: I will provide materials by Oct. 4th 2025. I will arrive a minimum of one hour prior to my scheduled event time. I will bring a Powerpoint presentation on a flash drive for my session.

*Due to unforeseen circumstances, you may be asked to present earlier if another instructor is delayed.

4.Instructor Lunches: Please check if you will be available for lunch

Thursday 11/6/2025

Friday 11/7/2025

Any dietary restriction or allegergies?

Hotel Reservations: Please make all appropriate selections:

Reservation Needed Wednesday 11/5/2025

Reservation Needed Thursday 11/6/2025

King Size Bed Room

Two Double Bed Room

A room is provided by CECTI if needed.

AV Equipment: Presentation rooms will include: Wi-Fi, Projector/Screen, Computer, Pointer, and Microphone. Please Indicate if you have any other AV needs. Please indicate if known, which date you are presenting.

Moderator Introduction for Instructors (Short)

CCWP Operator ID

Sponsorship Opportunities: Recognized on the Website, Signage, and Opening Remarks.

Exhibitor Opporunities: Present your service or products to operators and industry proffesionals. Tables include Wi-Fi and Electricity

$750 Per Table

Questions?

Thanks for submitting!

Instructor Form

Please submit presentation below, if not available or too large of a file, please email your presentation to info@cecti.org Thank you.

*Due to unforeseen circumstances, you may be asked to present earlier if another instructor is delayed.

A room is provided by CECTI if needed.

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