WisMATYC

Presenter Application Form

September 25, 2010 Fall Conference

UW Marathon County, Wausau

CALL FOR PRESENTERS (Deadline for submission: FRIDAY, SEPTEMBER 3, 2010)

Name of Primary Presenter: _____________________________________________________

Name of Co-Presenter(s), if applicable: _____________________________________________

(all correspondence will go to primary presenter)

College or Institution: ___________________________________________________________

Mailing Address: ______________________________________________________________

City: __________________________________________ State: _______ Zip: _________

Your email address: ____________________________________________________________

Title of Presentation: ___________________________________________________________

Summary Description (approximately 50 words) of your presentation for the conference program:

 

 

 

Length of Presentation: 30 minutes _____ 60 minutes _____ other _____

Format of Presentation: General session _____ Panel _____ Workshop _____

Equipment Needed: The meeting room will have Internet access, multimedia projector, and overhead projector. Please indicate any additional needs.

Along with this sheet, please submit:

 

Send the completed form and additional information to either:

Brian Murphy

UW Manitowoc
705 Viebahn Street
Manitowoc, WI 54220-6699
email: brian.murphy@uwc.edu

OR

Kevin Mirus

Madison Area Technical College
3550 Anderson Street
Madison, WI 53704
email: kmirus@matcmadison.edu


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