2008 NISOD Presentation Proposal Submission Form

2008 NISOD Presentation Proposal Submission Form

Dear Presenter,

This form must be completed all at one sitting. Upon completing this form and submitting the information, you will not have access to it nor will you have the ability to make changes. If you wish to keep a copy, we suggest that you paste your proposal into a Word document (or your favorite text editor). Please review the form in its entirety before you begin to ensure that you have all of the information.

If you have co-presenters, we are requesting their names, titles, and college/organizations. Please remember that you are the lead disseminator of information for all co-presenters.

If you have any questions or problems with this form, please contact Sheryl Powell.

Thanks.
The NISOD Staff

Demographic Information

(*signifies required fields)

Title

*First Name Middle Initial *Last Name

*Job Title

*College/Organization

*Address Line 1

Address Line 2

*City

*State/Province

*Zip/Postal Code

If not the United States, Country

*Phone Number (area code first)

*E-mail Address

Presentation Information

*Title of Presentation

*Description of Presentation: Provide 50-75 words (or less) that will be used in the conference program to tell attendees succinctly, persuasively, and accurately what to expect from your session.

*Proposed Content & Activities: Provide a brief outline of 200 words (or fewer) describing the content and activities of the proposed session. Describe visual aids, handouts, and activities you plan to use to ensure audience involvement. Traditional lecture methods are strongly discouraged.

*Program Strands (choose one) Teaching & Learning Teamship Development Career Development Leadership Development

*Type of Presentation Breakout Session Roundtable (Less than 10 people, no technology will be provided.)

*Will you be presenting with a for-profit company? Yes No If yes, which company?

Additional comments that might assist us in review of your proposal (50 - 75 words or less).

Co-Presenter Information

Do you have co-presenters? If so, please complete their information.

Co-Presenter 1

(*signifies required fields)

Title

*First Name Middle Initial *Last Name

*Job Title

*College/Organization

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

If not the United States, Country

E-mail address

Co-Presenter 2

(*signifies required fields)

Title

*First Name Middle Initial *Last Name

*Job Title

*College/Organization

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

If not the United States, Country

E-mail address

Co-Presenter 3

(*signifies required fields)

Title

*First Name Middle Initial *Last Name

*Job Title

*College/Organization

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

If not the United States, Country

E-mail address

Co-Presenter 4

(*signifies required fields)

Title

*First Name Middle Initial *Last Name

*Job Title

*College/Organization

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

If not the United States, Country

E-mail address

Co-Presenter 5

(*signifies required fields)

Title

*First Name Middle Initial *Last Name

*Job Title

*College/Organization

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

If not the United States, Country

E-mail address