Presenter(s): The first presenter listed below is the contact person and is responsible for forwarding all correspondence to other presenters. (Please be reminded that all presenters must register and pay the registration fee.)
1. Include a typed 10-25 word biographical statement on each presenter.
2. Description: Please type a 50-100 word summary of your presentation and identify the intended audience.This information will be printed in the conference program.
3. If submitting proposal electronically, please send biographical statement and description as noted above in one attached Word document.
Title of Presentation:
__________________________________________________________
Name of First Presenter:
__________________________________________________________
Institution:
__________________________________________________________
Address where you can be reached:
__________________________________________________________
__________________________________________________________
E-mail address: ____________________________________________
Work Phone: ______________________________________________
Home Phone: _____________________________________________
Cell Phone: _______________________________________________
Second Presenter: ___________________________________________
Institution: __________________________________________________
Third Presenter: _____________________________________________
Institution: __________________________________________________
Fourth Presenter: ____________________________________________
Institution: __________________________________________________
Type of Presentation: (Check One.)
____Paper (45 minutes)
____Panel Discussion (45 minutes)
____Workshop (60 or 90 min/circle one)
____Demonstration (45 minutes)
____Roundtable Discussion (45 minutes)
____ Short Report (20-30 min)
Audience: (Check all that apply.)
____ Preschool or Elementary School
____Middle or High School
____Adult Education
____ College or University
____Parent Education
____ General
____ Administration
____ Teacher Education
Facilitator Requested: ____yes ____no
Audiovisual Equipment Needed (please specify):
__________________________________________________________
You will be advised whether equipment can be provided or if you will need to bring your own.