History Symposium Application | Lake County Forest Preserves

*Required

To submit a proposal, fill out this form and please attach: a resume of the participant(s), a description of the major primary and secondary sources used in your research, and any additional pages as necessary.

Presenter/Session Leader:

Name: *

Phone *

Email: *

Additional Participants:

Address: *

Address 2:

City *

State *

Zip/Postal Code *

Affiliation:

Presentation Title: *

Program Description: *

Session Preference: *

Resume: *

Second Resume:

Other Attachment Includes source materials, descriptions, photos, etc.

Other attachment: *

Other attachment: