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)

Additional Email

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

Yes

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

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.

$500 AM Thursday Break

$500 PM Thursday Break

$500 AM Friday Break

$500 PM Friday Break

$1000 Thursday Lunch

$1000 Friday Lunch

$100 Raffle/Tool/Gift Cards

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

$750 Per Table

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