Documente Academic
Documente Profesional
Documente Cultură
Please make a copy of all submitted materials for your records. SUBMISSION DEADLINE: MARCH 1, 2011
Please make a copy of all submitted materials for your records. SUBMISSION DEADLINE: MARCH 1, 2011
63 rd
Presentation Title: ________________________________________________________________________________________________
Co-Presenters: ____________________________________________________________________________________________________
Association State Goals: (check all that apply) ■ 25A ■ 26A ■ 27A ■ All Goals
Conference ■ 25B ■ 26B ■ 27B
2011
Workshop Set Up: (check all that apply) ■ Water Accessibility Needed ■ Will Bring AV Equipment for Workshop
more information will be requested ■ Student Assistant Needed ■ Will Arrange for Internet Access
once the proposals are accepted
Workshop Fee: ■ No ■ Yes $________ amount per person (based on full workshop)
November 10-12 You will be contacted about specific requirements for your session or workshop after your proposal has been received
and accepted for the conference. To help us plan the schedule, please answer these questions:
Illinois State Are you presenting with someone else? ■ No ■ Yes Name: __________________________________
University Are you willing to present your session or workshop a second time? ■ No ■ Yes
Are you submitting more than one proposal? ■ No ■ Yes
Inspiration Are you planning to submit student work for consideration for the student art show? ■ No ■ Yes
= (for scheduling purposes - the show will take place Saturday morning)
Creation Presentation Description: (in 35 words or less - see 2010 conference Mosaic issue for examples of descriptions)
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Mail, Fax OR email your proposal
to VICKI KANIK by: March 1, 2011 ____________________________________________________________________________________________________________________
Goal #1 ____________________________________________________________________________________________________________
Goal #2 ____________________________________________________________________________________________________________
MAIL TO:
Vicki Kanik Goal #3 ____________________________________________________________________________________________________________
Conference On-Site Proposals
Lead Presenter Contact Information:
4088 Brady Street
Yorkville, Illinois 60560 School Address: ______________________________________________________________________________________________________
Home Phone: (630/553-6759) City: ______________________________________________________ State:___________ Zip+4: ________________________________
EMAIL
MAIL TO: vkanik2@aol.com Mailing Address: ______________________________________________________________________________________________________
Please notify conference proposal chair Cell Phone With Area Code: __________________________________________________________________________________________
if ANY of this information changes after
Work Phone With Area Code: ________________________________________________________________________________________
you have submitted your proposal.
Email Address: ______________________________________________________________________________________________________
Please make a copy of all submitted materials for your records. SUBMISSION DEADLINE: MARCH 1, 2011
Save the form with your name in the filename (ex: joe_smith.pdf)
If you are not using Acrobat Reader, save by going to "File>Save As" Save Email Print Clear
You can then email your pdf as an attachment (or print using "File>Print")