Please answer the proposal application questions completely and provide
all the information requested. You must answer all of the questions.
Incomplete applications will not be accepted. Submit your proposal by
close-of-business ***Friday, February 20, 2009.***

**Part I: Presentation Information**

1\. What is your presentation title? (10 words or less.)

     

> ***Note:*** Please ensure the session title reflects the information
> and content that will be presented during the session.

2\. In keeping with our conference theme---Reaching Across Boundaries:
Sharing Challenges and Opportunities---please select the "Boundary" area
of your presentation (consult the *Call for Presenters* for a
description of each Boundary category). Please select only one boundary
area.

**(Click on the arrow to the right of the box to see your selections)**

3\. How long is your proposed presentation? Please choose only
**[one]{.underline}** of the following:

**(Click on the arrow to the right of the box to see your selections)**

If you chose the Field Trip option, how long will your field trip be?
      hours.

> ***Note***: Field trips are scheduled on Tuesday and Wednesday, August
> 18 and 19. The maximum length of field trips is four hours.

4\. Please indicate the instructional level of your presentation.

**(Click on the arrow to the right of the box to see your selections)**

> ***Note:*** We are looking for a variety of topics appropriate for
> various levels of experience among the conference participants.
> Participants new to the field are likely to be interested in
> introductory topics, while others with more experience are more apt to
> be interested in new or advanced information. We encourage you to
> consider topics at the intermediate or advanced levels.

5\. Please indicate the environmental media/topic(s) that your
presentation addresses. Please select only one.

**(Click on the arrow to the right of the box to see your selections)**

If you chose "Other" above, please explain.      

1

6\. What audiovisual equipment will you require for your presentation?

> Flip charts with markers. How many flip charts do you need?      
>
> VCR
>
> DVD Player
>
> Other      
>
> (Requests for additional equipment will be considered on an individual
> basis.)
>
> ***Note:*** Computers with PowerPoint viewer software and LCD
> projectors ***will be provided*** for all sessions. Presenters are
> encouraged to use this equipment to show all of their presentation
> materials. If needed and requested by July 17, 2009, support will be
> provided to presenters to convert their materials to the PowerPoint
> format. Conference organizers are planning to produce and distribute
> presentation proceedings in electronic formats. All final electronic
> presentation materials must be submitted by **July 31, 2009**.

7\. Briefly describe your session using no more than **250 words**
(approximately half of a page). If your presentation is accepted, this
description will be included in the conference program and posted on the
conference web page. It is important that this description reflect the
content of the presentation.

     

8\. Explain your plan to actively involve the audience in your
presentation, using **no more than 75 words**. Be specific. ***Note:***
We prefer that audience involvement include activities other than just a
question and answer session*.*

     

9\. What will participants learn in your session? Please list clearly
and concisely the key learning objectives or messages from your
presentation, using **no more than 50 words**.

     

10\. Please show, in an outline format, how your presentation will be
organized. As part of this outline, identify each topic/subject area and
how that information will be conveyed (i.e., lecture, panel, participant
discussion, interactive exercise/role play, or combination of
approaches).

     

**Part II: Presenter Information**

You need to provide contact information and answer several questions for
each person you are proposing for this presentation. Make sure the
number of presenters you are proposing is reasonable for the length of
the session. We encourage you to limit the number of presenters and
increase opportunities for audience interaction instead. For example, if
you are proposing a ninety 90-minute information session, we recommend
having no more than two presenters.

Please answer the questions (listed on the next page) about the lead
presenter first. After completing the lead presenter questions, please
provide the same information for each of the other people you are
proposing for this session. If you have not identified your specific
presenters yet, please provide as much information about the intended
person as possible, such as the type of organization they represent and
their role in the presentation.

This application provides space for information about three presenters.
If you are proposing more than three presenters, copy questions one
through four and provide the necessary information for each additional
presenter.

***Note:*** All correspondence will be sent to the Lead Presenter
***only***. It is the Lead Presenter's responsibility to notify
conference organizers of any changes to their proposed presenters.

**[Lead Presenter]{.underline}**

1\. Provide contact/background information for the lead presenter.

<table>
<colgroup>
<col style="width: 19%" />
<col style="width: 5%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td><blockquote>
<p>Name:</p>
</blockquote></td>
<td colspan="2">Prefix (Mr./Ms./Dr.):</td>
<td colspan="3">     </td>
<td colspan="2">First:</td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td></td>
<td>Last:</td>
<td colspan="4">     </td>
<td colspan="3">Suffix (Jr., Sr.):</td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>Professional Title:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Organization:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Branch/Division:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Mail Code:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Address:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>City:</td>
<td colspan="4">     </td>
<td colspan="2">State:</td>
<td colspan="3">     </td>
<td>Zip:</td>
<td>     </td>
</tr>
<tr class="even">
<td>Phone:</td>
<td colspan="2">     </td>
<td>Ext.</td>
<td>     </td>
<td>Fax:</td>
<td colspan="6">     </td>
</tr>
<tr class="odd">
<td>E-Mail:</td>
<td colspan="11">     </td>
</tr>
</tbody>
</table>

2\. What type of organization does this speaker represent? (*If more
than one choice applies, please select the primary organization this
speaker is representing in his/her capacity as a presenter.*)

**(Click on the arrow to the right of the box to see your selections)**

If you chose "other," please explain.      

3\. Describe the professional background and presentation experience of
this presenter, using **no more than five sentences**.

     

4\. What is the role of this proposed presenter in the presentation?

     

[**If you have no co-presenters, hold down the Control Key and click
here to proceed to Part III, Speaker Reimbursement. Otherwise, scroll
down to the next page and fill out the questions for your Second
Presenter on the next page.**](#anyrequestreimb-1)

**[Second Presenter]{.underline}** If you do not have a second
presenter, move to Part III, Speaker Reimbursement, page 8.

1\. Provide contact/background information for the second presenter.

<table>
<colgroup>
<col style="width: 19%" />
<col style="width: 5%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td><blockquote>
<p>Name:</p>
</blockquote></td>
<td colspan="2">Prefix (Mr./Ms./Dr.):</td>
<td colspan="3">     </td>
<td colspan="2">First:</td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td></td>
<td>Last:</td>
<td colspan="4">     </td>
<td colspan="3">Suffix (Jr., Sr.):</td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>Professional Title:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Organization:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Branch/Division:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Mail Code:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Address:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>City:</td>
<td colspan="4">     </td>
<td colspan="2">State:</td>
<td colspan="3">     </td>
<td>Zip:</td>
<td>     </td>
</tr>
<tr class="even">
<td>Phone:</td>
<td colspan="2">     </td>
<td>Ext.</td>
<td>     </td>
<td>Fax:</td>
<td colspan="6">     </td>
</tr>
<tr class="odd">
<td>E-Mail:</td>
<td colspan="11">     </td>
</tr>
</tbody>
</table>

2\. What type of organization does this speaker represent? (*If more
than one choice applies, please select the primary organization this
speaker is representing in his/her capacity as a presenter.*)

**(Click on the arrow to the right of the box to see your selections)**

If you chose "other," please explain.      

3\. Describe the professional background and presentation experience of
this presenter, using **no more than five sentences**.

     

4\. What is the role of this proposed presenter in the presentation?

     

[**If you have no co-presenters, hold down the Control Key and click
here to proceed to Part III, Speaker Reimbursement. Otherwise, scroll
down to the next page and fill out the questions for your Third
Presenter on the next page.**](#anyrequestreimb-1)

**[Third Presenter]{.underline}** If you do not have a third presenter,
move to Part III, Speaker Reimbursement, page 8.

1\. Provide contact/background information for the third presenter.

<table>
<colgroup>
<col style="width: 19%" />
<col style="width: 5%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td><blockquote>
<p>Name:</p>
</blockquote></td>
<td colspan="2">Prefix (Mr./Ms./Dr.):</td>
<td colspan="3">     </td>
<td colspan="2">First:</td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td></td>
<td>Last:</td>
<td colspan="4">     </td>
<td colspan="3">Suffix (Jr., Sr.):</td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>Professional Title:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Organization:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Branch/Division:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Mail Code:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Address:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>City:</td>
<td colspan="4">     </td>
<td colspan="2">State:</td>
<td colspan="3">     </td>
<td>Zip:</td>
<td>     </td>
</tr>
<tr class="even">
<td>Phone:</td>
<td colspan="2">     </td>
<td>Ext.</td>
<td>     </td>
<td>Fax:</td>
<td colspan="6">     </td>
</tr>
<tr class="odd">
<td>E-Mail:</td>
<td colspan="11">     </td>
</tr>
</tbody>
</table>

2\. What type of organization does this speaker represent? (*If more
than one choice applies, please select the primary organization this
speaker is representing in his/her capacity as a presenter.*)

**(Click on the arrow to the right of the box to see your selections)**

If you chose "other," please explain.      

3\. Describe the professional background and presentation experience of
this presenter, using **no more than five sentences**.

     

4\. What is the role of this proposed presenter in the presentation?

     

[**If you have no more co-presenters, hold down the Control Key and
click here to proceed to Part III, Speaker
Reimbursement.**](#anyrequestreimb-1)

[**If you have additional co-presenters, hold down the Control Key and
click here to proceed to the additional presenters section, located at
the end of this document.**](#submitter_name)

**Part III: Speaker Reimbursement Information**

Environmental Management Support, Inc. (EMS), EPA's conference planning
contractor, has limited funding available to reimburse the
travel-related expenses for ***one*** speaker (non-federal government
presenters only) for each session. These speakers must arrange and
***pay for*** all their travel-related expenses up front (airfare,
lodging and food) and will be ***reimbursed*** for these expenses
***after*** the conference. Those requesting reimbursement will be
notified by May 15, 2009, about whether they will be reimbursed for
travel expenses.

1\. Will you or any of your co-presenters require reimbursement of
travel expenses to present at the conference? (**For non-federal
government presenters only**). If so, please check the box below.

[]{#anyrequestreimb-1 .anchor}

> If you checked the box above, which presenter(s) listed in Part II
> will require reimbursement?
>
> (**Only one presenter per session**)

Presenter's Name:      

2\. Will you still be able to give this presentation if the presenter
listed above is ***not*** reimbursed for travel expenses? Please select
one of the following responses.

> Yes, we will be able to give this presentation without being
> reimbursed for travel-related expenses.
>
> No, we will not be able to give this presentation unless the presenter
> listed above is reimbursed for travel.

**Part IV: Submit Your Application**

1\. Please read and add the following statement to the end of your
proposal:

> "With the submission of this proposal, I acknowledge that EPA reserves
> the right to record any portion of my presentation for later
> reproduction and distribution to conference participants. I shall
> provide to conference organizers copies of presentation materials in
> an electronic format, for inclusion on the conference proceedings web
> page. I also recognize that I am required to register for the
> conference and, if necessary, pay a discounted registration fee
> (non-EPA presenters only)."

Yes, I have read and agree to the conditions stated above. Your Name.
     

2\. Submit your proposal by ***close-of-business on Friday, February 20,
2009.*** We encourage you to email your proposal, if possible. If not,
you may also fax or mail your proposal. If you mail the proposal, it
must be postmarked by February 20, 2009. Send your proposal to the CI
Conference Coordinator at:

Email:
[[ciconference@emsus.com.]{.underline}](mailto:ciconference@emsus.com.)
Fax: 301-589-8487

Mail: Conference Coordinator

> Environmental Management Support, Inc.

8601 Georgia Avenue, Suite 500

Silver Spring, MD 20910

**[Additional Presenter]{.underline}**

1\. Provide contact/background information for the additional presenter.

<table>
<colgroup>
<col style="width: 19%" />
<col style="width: 5%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td><blockquote>
<p>Name:</p>
</blockquote></td>
<td colspan="2">Prefix (Mr./Ms./Dr.):</td>
<td colspan="3">     </td>
<td colspan="2">First:</td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td></td>
<td>Last:</td>
<td colspan="4">     </td>
<td colspan="3">Suffix (Jr., Sr.):</td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>Professional Title:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Organization:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Branch/Division:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Mail Code:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Address:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>City:</td>
<td colspan="4">     </td>
<td colspan="2">State:</td>
<td colspan="3">     </td>
<td>Zip:</td>
<td>     </td>
</tr>
<tr class="even">
<td>Phone:</td>
<td colspan="2">     </td>
<td>Ext.</td>
<td>     </td>
<td>Fax:</td>
<td colspan="6">     </td>
</tr>
<tr class="odd">
<td>E-Mail:</td>
<td colspan="11">     </td>
</tr>
</tbody>
</table>

2\. What type of organization does this speaker represent? (*If more
than one choice applies, please select the primary organization this
speaker is representing in his/her capacity as a presenter.*)

**(Click on the arrow to the right of the box to see your selections)**

If you chose "other," please explain.      

3\. Describe the professional background and presentation experience of
this presenter, **using no more than five sentences**.

     

4\. What is the role of this proposed presenter in the presentation?

     

  -----------------------------------------------------------------------
  **To add an additional presenter, go to the next page. [Otherwise, hold
  down the Control Key and click here to proceed to part III, Speaker
  Reimbursement.](#anyrequestreimb-1)**

  -----------------------------------------------------------------------

**[Additional Presenter]{.underline}**

1\. Provide contact/background information for the additional presenter.

<table>
<colgroup>
<col style="width: 19%" />
<col style="width: 5%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td><blockquote>
<p>Name:</p>
</blockquote></td>
<td colspan="2">Prefix (Mr./Ms./Dr.):</td>
<td colspan="3">     </td>
<td colspan="2">First:</td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td></td>
<td>Last:</td>
<td colspan="4">     </td>
<td colspan="3">Suffix (Jr., Sr.):</td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>Professional Title:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Organization:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Branch/Division:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td>Mail Code:</td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>Address:</td>
<td colspan="11">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td>City:</td>
<td colspan="4">     </td>
<td colspan="2">State:</td>
<td colspan="3">     </td>
<td>Zip:</td>
<td>     </td>
</tr>
<tr class="even">
<td>Phone:</td>
<td colspan="2">     </td>
<td>Ext.</td>
<td>     </td>
<td>Fax:</td>
<td colspan="6">     </td>
</tr>
<tr class="odd">
<td>E-Mail:</td>
<td colspan="11">     </td>
</tr>
</tbody>
</table>

2\. What type of organization does this speaker represent? (*If more
than one choice applies, please select the primary organization this
speaker is representing in his/her capacity as a presenter.*)

**(Click on the arrow to the right of the box to see your selections)**

If you chose "other," please explain.      

3\. Describe the professional background and presentation experience of
this presenter, using **no more than five sentences**.

     

4\. What is the role of this proposed presenter in the presentation?

     

  -----------------------------------------------------------------------
  [**If you have no other presenters, hold down the Control Key and click
  here to proceed to part III, Speaker
  Reimbursement.**](#anyrequestreimb-1)

  -----------------------------------------------------------------------