CAPSO 2011 Convention - Session Proposal Form

Thank you for submitting one or more session proposals for CAPSO's 12th Triennial Convention, which will take place November 21-22, 2011, in Long Beach, California.

Please complete a separate online form for each proposed session.

Should you have any questions about CAPSO, its Triennial Convention, or the session proposal process, please contact Ron Reynolds at the CAPSO office: Phone: 818-781-4680; e-mail: ronreynolds@capso.org

Thanks, again!

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* 1. Have you presented at a previous CAPSO Convention?

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* 2. Title (e.g. Mr. Mrs. Ms. Dr. Rev.):

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* 3. First Name (middle name or initial, optional)

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* 4. Last Name

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* 5. Your School, Organization, or Employer

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* 6. Your Mailing Address: Number & Street

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* 7. City

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* 8. State

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* 9. Zip Code

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* 10. Phone

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* 11. E-Mail Address

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* 12. Will anyone else be co-presenting with you?

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* 13. Proposed Session Title

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* 14. Proposed Session Description

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* 15. The proposed session is relevant to the following subject matter or issue areas: (Please check all that apply.)

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* 16. The proposed session is intended for an audience that includees: (Please check all that apply.)

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* 17. The proposed session is intended to appeal to persons associated with the following grade levels: (Please check all that apply.)

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* 18. Does the proposed session need to be limited to a maximum number of participants?

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* 19. CAPSO sessions run for 75 minutes. In a few instances, we structure workshops as double sessions, running 2.5 hours. Would you like us to consider making this session a double session?

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* 20. Please place a check beside each date upon which you will be available to present your proposed session: (Please check all that apply.)

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* 21. If invited to do so, would you be willing to offer one or more repeats of the session you are proposing?

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