PROGRAM PROPOSAL FORM

A separate form must be completed for each presenter.
Please print or type information as you would like it to appear on conference materials. Contact information must be that of the individual presenter to insure proper delivery of NAPDS benefits.

Title of Presentation _______________________________________________________

Presenter's Name _________________________________________________________

First Name (for name badge) ________________________________________________

Title ____________________________ Dept/District. ____________________________

School/District/Institution ___________________________________________________

Institituon Address ________________________________________________________

City __________________________________ State _______ Zip __________________

Daytime Phone __________________________ FAX ____________________________

Email Address ___________________________________________________________

Alternate Email Address ____________________________________________________

Indicate your preferred session day (check only one:

The conference planning committee will make every attempt to meet your request. Presenters will be informed of their actual session day/time approximately six weeks prior to the conference.

This proposal primarily addresses Question Number (check one only):

OR

This proposal is for a Student Poster Session (Saturday Only). _____ Student Poster Session

All presenters MUST be registered participants for the conference.

DEADLINE FOR PROPOSALS IS OCTOBER 15, 2008 (POSTMARKED)!

For proposal submission, complete and attach to proposal, and mail to:

2009 PDS National Conference
University of South Carolina • College of Education
Wardlaw 252• Columbia, SC 29208
Phone (803) 777-1515• Fax (803) 777-4807

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