Workshop Information

Workshop Title


Workshop Abstract (50-word maximum)
If the workshop is accepted, the abstract will be included in the program.)


Workshop Description (250-word maximum)
Provide a description of what attendees will learn and what activities (if any) you will use during your presentation. Also, please indicate what level of knowledge the participants should have (basic, intermediate, advanced).


Room Setup
Please check all appropriate boxes.

	Classroom			Panel (Set for )			Roundtable
	Technology Lab			Internet Hookup (additional cost to presenter)
	Additional Tables

Workshop Length
Most workshops run 1 1/4 to 1 1/2 hours, if you think your workshop would require a longer time period you may opt to use two consecutive time periods.
     1 1/2 hours     3 hours

Primary Track Selection
Please indicate primary area.

		ESL
		Linking Research to Practice (instruction, training, management)
		Promoting Literacy Awareness and Advocacy (advocacy, public awareness, marketing)
		Student
		Innovative Practices in Literacy and Adult Education (basic literacy, training, workforce education, math, family literacy, correctional education, workplace, technology, etc.)
		Program Improvement and Accountability (organizational planning and evaluation, volunteer administration, fund development, accreditation, and hot topics in leadership)

Target Audience
Please indicate target audience(s).

		Administrators			Board Members
		General Audience			Instructional Staff
		Program Coordinators/Directors			Students/Learners
		Trainers			Volunteers/Tutors

Presentation Aids
An overhead projector and flip chart will be provided at no cost if requested.
     Overhead and screen  Flip chart

Additional Presentation Aids
An overhead projector and flip chart will be provided at no cost if requested. If your workshop is selected and you need to utilize additional AV equipment, we will provide you with the contact information for our AV vendor. You will then contract individually with the provider.
     Additional AV

Lead Presenter
This individual is responsible for relaying information between the conference team and the co-presenter. Please provide your primary contact information.

First Name

Last Name

Title

Organization

Address Line 1

Address Line 2

City

State

Postal Code

Telephone

Fax

E-mail

Biographical Information (40-word maximum)

Co-Presenter

First Name

Last Name

Title

Organization

Address Line 1

Address Line 2

City

State

Postal Code

Telephone

Fax

E-mail

Biographical Information (40-word maximum)

Presenter Agreement
By submitting this application, you agree to the following:

I understand that the lead presenter and one co-presenter:

• Must register and pay the reduced conference rate (any additional presenters must pay the full conference rate)
• Will be responsible for all costs related to transportation, room, and board
• Will be responsible for furnishing handouts in the quantity needed
• Will be responsible for costs of audio-visual equipment requested beyond one flip chart and an overhead projector