Fall 2011 Kentucky Honors Roundtable Proposal Submission Form

Please list the names of the presenters as they should be printed in the program.

Name of Presenter #1:
Classification of Presenter #1:
E-mail Address of Presenter #1:
Name of Presenter #2:
Classification of Presenter #2:
E-mail Address of Presenter #2:
Name of Presenter #3:
Classification of Presenter #3:
E-mail Address of Presenter #3:
Name of Presenter #4:
Classification of Presenter #4:
E-mail Address of Presenter #4:
Name of Presenter #5:
Classification of Presenter #5:
E-mail Address of Presenter #5:
Name of Institution:
Honors Program/College Information
Title of Presentation:
Please select one of the following formats for your presentation:
Select equipment needed. Check all that apply.
Name of Honors Program/College Director (submission of proposal indicates approval by director):
E-mail Address of Honors Program/College Director:
Abstract (maximum length 100 words):