Southeastern Panhellenic Association - Call for Program Application

Call for Program Application

Call for Program

PROGRAM TITLE:

Program Format (check all that apply):
Lecture
Discussion/Round Table
Interactive/Group Activity

Audio-Visual Equipment )check only boxes you are certain you will because of the cost for AV):
Flip Chart
Will bring LCD Projector and Computer
No Special Requirement

Intended Audience:
Professional
Student
Other-Position Specific - list below

Specific audience:

Have you presented before?
Yes
No

If yes, please indicate when:

If yes, please indicate where:

When can you present?
Friday Morning
Friday Afternoon
Saturday Morning
Saturday Afternoon
Anytime

SHOULD THIS PROGRAM BE SELECTED, I/WE AGREE THAT:
All presenters listed in the proposal have agreed
I agree to register for this conference.
I understand that I am responsible for handouts.
If an undergraduate, I have advisor's permission.

Coordinating Presenter Name:

Coordinationg Presenter Title:

Institution/Organization:

Coordinationg Presenter Mailing Address:

Coordinating Presenter City:

Coordinating Presenter State:

Coordinating Presenter Zip:

Coordinating Presenter Day Phone:

Coordinating Presenter Email:

Coordinating Presenter FAX:

Coordinating Presenter Website:

Co-Presenter Name:

Co-Presenter Greek Affiliation:

Co-Presenter Institution/Organization:

Co-Presenter Mailing Address:

Co-Presenter City:

Co-Presenter State:

Co-Presenter Zip:

Co-Presenter Day Phone:

Co-Presenter Email:

Co-Presenter FAX:

Co-Presenter Website:

Co-Presenter Name:

Co-Presenter Greek Affiliation:

Co-Presenter Institution/Organization:

Co-Presenter Mailing Address:

Co-Presenter City:

Co-Presenter State:

Co-Presenter Zip:

Co-Presenter Day Phone:

Co-Presenter Email:

Co-Presenter FAX:

Co-Presenter Website:

80-word abstract of your program content which will appear in the conference program should your proposal be accepted:

A complete outline of your program describing key points, program content, use of handouts and significance to workshop participants. This outline will be used to assess your proposal.

Biographical information for each presenter–limited to 80 words:

Today's Date: