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SWCOLT 2013 ONLINE PROPOSAL FORM
● Henderson, Nevada ● April 4-6, 2013

The deadline for submitting a session or workshop proposal for the 2013
Conference in Henderson, Nevada is October 19, 2012
The Theme of the Conference is Viva Las Languages: 30 Years of Language CONNECTIONS. Sessions that reflect the theme "language connections" are encouraged. Please complete ALL of the following information. Before you click SUBMIT
ANSWERS at the bottom of the page, we recommend that you print a copy of this
form for your records.
SWCOLT is unable to pay presenters' registration fees or conference expenses. Session presenters and co-presenters must pay the registration fee for the conference. Workshops with insufficient enrollment may be canceled. At this time SWCOLT is not accepting ASL sessions, nor can SWCOLT provide ASL interpretation services.
Please direct any questions to Bonnie Flint, Nevada Program Chair, at
bflint@dsdmail.net
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PRESENTER'S FIRST NAME
Please enter your first name as you would like it to appear in the Conference Program (information about co-presenters can be added toward the end of this form): *
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PRESENTER'S MIDDLE NAME OR INITIAL
Please enter your middle name or initial as you would like it to appear in the Conference Program:
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PRESENTER'S LAST NAME
Please enter your last name as you would like it to appear in the Conference Program: (Please be responsible for informing any co-presenters, if appropriate, with updates and information about this presentation.) *
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INSTITUTION OR COMPANY NAME
Please enter the name of the presenter's school, institution or company as it should appear in the Conference Program: *
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Does this presenter represent a publisher, exhibitor or other entity that may offer items for sale related to the presentation?*
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If yes, will your company also be an exhibitor at this SWCOLT Annual Meeting? (For your convenience, we would like to coordinate all exhibitor sessions with the hours of the exhibit hall).
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MAILING ADDRESS
Please enter the presenter's street address: *
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City: *
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STATE: *
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ZIP Code: *
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E-MAIL ADDRESS
Please enter the presenter's preferred email address: *
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SECONDARY E-MAIL ADDRESS
If desired, please enter a second email address to be used if the first proves unsuccessful:
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PHONE NUMBER
Please enter the presenter's preferred phone number with AREA CODE (you may indicate a second number if desired): *
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SECONDARY PHONE NUMBER
If desired, please enter a second phone number with AREA CODE:
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PRESENTATION TYPE:
Breakout sessions of 60 minutes will be on Friday, April 13, and Saturday, April 14. Full-day and half-day workshops will be held on Thursday, April 12. *
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PRESENTATION TITLE:
Please enter the title of your session or workshop as you would like it to appear in the Conference Program: *
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PROGRAM ABSTRACT
Provide a 50-75 word abstract of your presentation. This abstract will be published in the Conference Program (a more detailed description is required at the end of this proposal form): *
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LANGUAGE FOCUS
Select as many as apply:*
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If you indicated OTHER as the language focus, please indicate that language here:
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PRESENTATION LANGUAGE What language will be used in delivering the presentation?*
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If you selected OTHER, please indicate the language of the session or workshop:
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APPROPRIATE AUDIENCE
Select one:*
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AUDIO-VISUAL NEEDS Please indicate what audio-visual equipment you will need. Indicate as many responses as apply.
(Note:
SWCOLT will provide an LCD Projector in every room. Presenters are expected to bring their own laptops. Overhead Projectors and VCRs WILL NOT be provided. There may be a fee to the presenter for Internet access; fees will be communicated as soon as they are known.)*
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KEYWORD OR TOPIC Please select only ONE response for the program index:*
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SESSION DESCRIPTION Please provide a detailed description of your presentation (200 - 300 words), identifying content, procedures, expected audience outcomes, and materials to be used.*
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If I am accepted as a session presenter or co-presenter, I am aware that I will be required to pay the conference registration fee.
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If you will be the only presenter of this
workshop or session, please skip the following questions and click on Submit
SUBMIT at
the end of this survey. We recommend that you
PRINT a
copy of this survey before you submit it.
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SECOND PRESENTER
First Name:
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SECOND PRESENTER
Middle Name or initial:
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SECOND PRESENTER
Last name:
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SECOND PRESENTER
Institution or company:
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MORE PRESENTERS?
If there are additional presenters, please indicate their name and institution:
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Email address of co-presenter 1
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Email address of co-presenter 2
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Email address of other presenters.
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