Presenter's Name:
Institution:
Docent:
Staff:
Presenter's Mailing Address:
Phone:
Cell Phone:
Fax:
Email:
Co-Presenter or Panelist and email addresses:
Co-Presenter 1:
Co-Presenter 2:
Co-Presenter 3:
Co-Presenter 4:
Qualifications: (100 words maximum)
Presentation Title:
Please provide an abstract fully describing your proposal below.
Will there be handouts?
Yes
No
Will you be using a laptop?
Yes
No
Do you have AV special needs?
Yes
No
If yes, list equipment you will need and any special set-up required below.
Applications must be received by
October 1, 2010
.
Notification of receipt of proposal by
October 31, 2010
.
Participants will be notified as to the status of their proposal by
December 31, 2010
.
