MOM 2010 Call For Programs

Coordinating Presenter Name:

Institution/Agency:

Title:

E-mail:

Phone Number:

Mailing Address:

Names and Titles of Co-Presenters:

About the Presentation

Title of Presentation:

Topic Area (please select one):

Length of Session (please select one):

60 minutes

75 minutes

Presenter Biography and Program Description

Please submit the following for consideration:

1. A Short Biography Statement (60 words)

2. A Program Abstract of 125 words or less as you would like it to appear in the program booklet

3. A Program Description of up to 750 words. Key information to include:

a. Key points and learning objectives

b. Information that can be used on participants’ campuses or for personal development

c. Interactive opportunities included in the program (i.e. icebreakers, group exercise, group discussion)

d. Previous experience presenting the program

Please combine the above items in one Word document and upload here:

Audio Visual Needs

Please Select One:

CD Player

DVD Player/Monitor

Screen and Cart Only (provide own laptop and LCD projector)

No Additional Items Needed

Please note that to keep conference costs low, we ask that you provide your own laptop and LCD projector.


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