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Call for Proposal Form



I. Presenter Information

Home InformationCollege Information
Name   Name
Address Address
City

 		City
StateState
ZipZip
Phone Phone
Fax Fax
Email
II.  Co-Presenter Contact Information
Home InformationCollege Information
Name   Name
Address Address
City

 		City
StateState
ZipZip
Phone Phone
Fax Fax
Email

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

Foundation/Developmental TechnologyMathematics Intensive
Liberal Arts/Teachers Other

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

Intellectual DevelopmentContentPedagogyGeneral
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.

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