Presenter Form, Fall 2017

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The dates for Prof. Dev. Week, Fall '17 are Mon. Aug. 14 to Fri. Aug. 18. *I might recommend copying the information on this presenter form into a word doc if you need it for reference. You won't get a copy of this information back-- until you get the snapshot from Jane for proofing.

Please note

I wanted to let you know that the Search Committee notified me that the President Search Committee Open Forums will be every day during Professional Development week and I cannot schedule anything during that time. This directive comes from the top. The time is 1:30-3 pm all 5 days of Prof. Dev. week.

Name *

First & last name

Email address *

Division *

Title of the Presentation *

This is the title that will appear in the schedule.

Which of the following are you? *

The presenter

The facilitator for the presenter

Required

Presenter of activity, if different from above

(only fill this out if you're a facilitator for another person, who is the presenter)

How shall presenter names (including yours) appear in the schedule? *

Include full names, job titles, and division affiliation or work areas for all presenters. Please do this!! I need titles, divisions etc. Please put down degrees if Ph.D., Ed.D. etc.

Description of presentation as it will appear in the schedule *

Length of the presentation in minutes *

Presentations are encouraged to be either 50, 80, or 110 minutes to allow for the 10 minute "pass time"

Which of these will benefit from this presentation? *

Check all that apply

Faculty & Staff

Students

Instruction

Required

Scheduling *

check one

I want the Professional Development Coordinator to schedule the date, time, and location for my presentation.

I will make my own date, time and location arrangements. Please let us know what these will be, in the box below.

Required

I want to schedule my own time/date/location, it will be:

List day, time, and location, as necessary, below.

These are times and/or days that I cannot present (during Prof. Dev. Week: August 14-18)

(only fill this out if you cannot present during certain times or days)

You are requested to make your own AV arrangements. Check here if you need AV support beyond the "usual" computer and projection system found in the typical classroom.

If you require AV support, please fill out a work order for this.

I anticipate needing more AV support

Submit

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