Instructions: Make as many photocopies of this form as necessary to provide information required to document adherence to the criteria for accreditation.
Information for each person must be typed or legibly written directly on a copy of this form. Do not attach any additional material.
Once complete, please mail to:
Conference Presentation CommitteeClick here for Presentation Profile Click here for Speaker Disclosure Form
STEP Council of Genesee Valley
PO Box 18023
Rochester, NY 14618-0023