| NAFSA Region7 Conference Session Proposal Form |
| INSTRUCTIONS: Questions/data fields marked by * are required. After you Submit this form, scroll to view the message that tells you whether you successfully submitted the form (you will then get an email confirmation at the email address you entered for Lead Presenter) or if you need to go back and complete required fields that have missing information. |
| 1. |
Lead Presenter Name (First, Last): *
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| 2. |
Lead Presenter Institution
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| 3. |
Lead Presenter Title:
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| 4. |
Lead Presenter Email: *
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| 5. |
Lead Presenter Phone Number:
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| 6. |
PRIMARY Audience *
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| 7. |
SECONDARY Audience
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| 8. |
Session Title: *
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| 9. |
Brief Description the Session (40 words or less – for conference program, should session be selected): *
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| 10. |
Type of Presentation (75 minutes per session block): *
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| 11. |
If Other, Please Specify:
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| 12. |
Have you done this presentation before?
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| 13. |
If yes, when?
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| 14. |
If yes, where?
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| 15. |
Estimated Attendance:
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| 16. |
Please provide an Outline of Your Session: Please include a bulleted outline and/or more thorough description of the session in order to provide greater detail for the knowledge community representative/selection committee reviewing the proposals.
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| 17. |
List by title any other session proposals you are submitting:
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| 18. |
Room Arrangement: To maximize space, all rooms will be set up theater style. If there is a very strong rationale for a different seating arrangement for your proposed session, please explain the preferred arrangement:
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| 19. |
Equipment needs: A microphone, lectern, and a head table as appropriate will automatically be supplied in all rooms. We want you to have the equipment you need, but keep in mind that equipment rental accrues a substantial cost to Region VII. Please indicate only the equipment you truly require for your session. (Note: Presenters must supply their own laptop for LCD presentations. Remember Murphy's Law and be prepared for alternate presentation modes in case of system failure). Note that Internet Access will not be available in any of the Program Rooms.
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| 20. |
If extra microphones are needed for the room, total number needed:
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| 21. |
If Other equipment needed, please specify (Note: overhead transparency/document projectors and internet access are not available):
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| 22. |
Other Special Needs:
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| 23. |
Preferred day and time: (requests will be honored if possible but are not guaranteed):
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| 24. |
Co-Presenter 1 Name (First, Last):
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| 25. |
Co-Presenter 1 Title:
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Co-Presenter 1 Institution:
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Co-Presenter 2 Name (First, Last)
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Co-Presenter 2 Title:
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Co-Presenter 2 Institution:
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Co-Presenter 3 Name (First, Last)
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| 31. |
Co-Presenter 3 Title:
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| 32. |
Co-Presenter 3 Institution:
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| 33. |
Co-Presenter 4 Name (First, Last)
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| 34. |
Co-Presenter 4 Title
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| 35. |
Co-Presenter 4 Institution
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