Type of presentation:

Concurrent session - 90 minutes
Roundtable discussion - 90 minutes, 12-15 people maximum


Presenters Names (please list all presenters):

Main Contact:

Full name:
Title/Position:
College:
Address:
City, State, Zip:
Phone:
Fax:
Email:

Co-Presenter #1:

Full name:
Title/Position:
College:
Address:
City, State, Zip:
Phone:
Fax:
Email:

Co-Presenter #2:

Full name:
Title/Position:
College:
Address:
City, State, Zip:
Phone:
Fax:
Email:

Co-Presenter #3

Full name:
Title/Position:
College:
Address:
City, State, Zip:
Phone:
Fax:
Email:

Title of presentation—Provide a title, 12 words maximum, describing the specific content of
the session (this is the title that will appear in the Conference Program):

Description of presentation—Provide a 75-word summary of your session, along with 5 bullet
points that tell the participants how they will benefit from attending your session
(this is the description that will appear in the Conference Program. Please refer to example on
previous page for summary format):


As the main contact person for the roundtable/concurrent Conference session, I hereby authorize the Chair Academy to reproduce the conference paper I will be providing for the proceedings CD. I am aware that all conference attendees will recieve this CD in their registration packets.

Please type your name here. By entering your name in the field above, you acknowledge that the information you entered is correct and that you agree to the above statements.

Audiovisual Requests
All sessions will be provided with the standard audio visual set up, which includes:
1 LCD projector with, projection screen,
1 flip chart
Markers, Pens, Pencils, and Tape
The Chair Academy does not be provide laptop computers.

Please indicate below any additional audiovisual needs, which we will do our best to provide:
Additional flip charts (quantity )
Speakers for the LCD projector
Internet - There is a $35* fee to be assessed to any participant who requests internet access.

We will have a very limited amount of rooms with internet access. These rooms will be assigned on a first come, first served basis.

*The fee is subject to a higher rate depending on the number of people who request use of internet in their room.

All accepted presentations will require a paper, written in APA style, to be submitted by
January 25, 2010. These papers will be included in a conference program CD given
to all conference attendees.

All presenters must register and pay the conference registration fee. If the presenter will
only be there on the day of the presentation, the one-day fee is required.

By submitting this proposal all presenters agree to these conditions.