JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2025 SHAPE PA CONFERENCE PROPOSAL FORM
Proposal Due Date: May 31, 2025
Acceptance notification on or before July 1, 2025
Location
: Blair County Convention Center - Altoona, PA
Dates
: November 13-14, 2025
Projector, wireless microphone, and speaker for music will be provided for each session
. You must provide your own laptop.
If you have any questions or need help with this form, please email conference@shape-pa.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Session Title
*
This will appear in the program.
Your answer
Session Description
*
This will appear in the program. Limit your description to 250 words. SHAPE PA reserves the right to edit as needed.
Your answer
Primary Target Audience (select one)
*
K-12 Physical Education
Elementary Physical Education
Secondary Physical Education
K-12 Health Education
Elementary Health Education
Secondary Health Education
Adapted Physical Education
Fitness/Wellness
Physical Activity/Recreation
Coaching
Leadership/Administration
Dance
Other:
Which type of space is preferred for this session?
*
Large Room/Ballroom for Active Session. Chairs around the perimeter.
Conference/Meeting Room with theater style seating
Conference/Meeting Room with round tables
Do you have a preferred date for this session?
*
We’ll do our best to accommodate your preference, though we can’t guarantee it.
Thursday, November 13th
Friday, November 14th
No Preference
Presenter 1 Information
Please fill out required information below.
Presenter 1 First & Last Name
*
Your answer
Presenter 1 Preferred Name to be printed in program (if different from above)
Your answer
Presenter 1 Cell Phone
*
will not be published
Your answer
Presenter 1 School District / Organization
*
Your answer
Presenter 1 Title (optional)
Ph.D.; M.Ed.; Manager, etc.
Your answer
Presenter 1, What best describes your role?
*
Choose
K-12 Professional (HPE Teacher)
Department Chair / Leader
College / University Professor
Future Professional (Undergraduate Student)
Health/Medical Professional
Administrator
Exhibitor
Retiree
Coach
Other
Presenter 1 Brief Bio
*
Your answer
Presenter 1 Social Media Handles / Links (optional)
Your answer
Presenter 2 Information
Please fill out this section if you're presenting with someone else. Otherwise, scroll to bottom and hit submit.
Presenter 2 First & Last Name
Your answer
Presenter 2 Preferred Name to be printed in program (if different from above)
Your answer
Presenter 2 Email
will not be published
Your answer
Presenter 2 Cell Phone
will not be published
Your answer
Presenter 2 School District / Organization
Your answer
Presenter 2 Title
Ph.D.; M.Ed.; Manager, etc.
Your answer
Presenter 2, What best describes your role?
Choose
K-12 Professional (HPE Teacher)
Department Chair / Leader
College / University Professor
Future Professional (undergrad student)
Health/Medical Professional
Administrator
Exhibitor
Retiree
Coach
Other
Presenter 2 Brief Bio
Your answer
Presenter 2 Social Media Handles / Links (optional)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of SHAPE PA.
Does this form look suspicious?
Report
Forms