Program Title:
Primary Speaker (All correspondence will be sent to the person listed in this section.) Primary Speaker’s Name: Title: School District/Organization: Fee for Presentation (If any): Address 1: Address 2: City: State: Zip: Phone: Fax: Email:
Additional Speakers (Correspondence will only be sent to the Primary Speaker listed above. Use a separate page for additional speakers.) Name: Title: School District/Organization: Address 1: Address 2: City: State: Zip: Phone: Fax: Email:
IAASE Goals (Please check ONLY one)
Program Abstract 1. Description of Session(Provide a description of the presentation. This description will be used as criteria to judge.) 2. Learning Objectives of Session(“at the end of my session, participants will be able to…”) 3a. Length/Type of Session 3b. Preferred presentation day 4. Please submit a short bio for each speaker that the session host can use when making introductions. 5. Please provide a one paragraph description of your presentation. If your presentation is accepted, this description will be printed in the conference program. 6. Basic audio visual equipment will be provided upon request.
Podium Screen Table for Materials TV/VCR Microphone on Stand Wireless Lavaliere Microphone Overhead Projector LCD Projector for use with Power Point LCD Projector for use with Video LCD Projector for use with Other Other:
IAASE Conference Schedule (Check the conference date you prefer to speak. Please note the date that Call for Presentation proposals must be received.) September 23-24, 2010 in Tinley Park
January 20-21, 2011 in Springfield
May 12-13, 2011 in Collinsville
