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I. Presenter Information

Home Information College Information
Name   Name
Address Address
City

City

State State
Zip Zip
Phone Phone
Fax Fax
Email
II.  Co-Presenter Contact Information
Home Information College Information
Name   Name
Address Address
City

City

State State
Zip Zip
Phone Phone
Fax Fax
Email

III. Mark  the strand that most accurately describes your presentation:

Foundation/Developmental Technology Mathematics Intensive
Liberal Arts/Teachers Other

IV.  Check up to 3 (Total-not per category) of the following that relate most to your presentation:

Intellectual Development Content Pedagogy General
Problem Solving Number Sense Teaching with Technology Faculty Development
Modeling Algebra Interactive/Collaborative Learning Advising and Placement
Reasoning Probability and Statistics Multiple Approaches Learning Centers
Critical Thinking Calculus      Evaluation

V.   Title of Presentation:

VI. Write a  50-word Summary of Your Presentation for Program ( with information about the intended audience):

VII.   Format You Would Prefer:    

VIII. Day preference:  

IX.    List any equipment needed for your presentation:

X. List any special accommodation or considerations needed (if applicable):



XI. Brief Resume for Presenter
 

XII. Brief Resume for Co-Presenter

 

XIII.Additional Comments or Information 



Click on the send button to the left to submit your proposal.