* 1. Please share your name:

* 2. Where do you work? What is your position?

* 3. Please share your contact information (email address, phone number):

* 4. Are you an NEA member?

* 5. How long have you been an NEA member?

* 6. In 300 words or less, please give us a short biography of yourself, your work, and why you want to attend this conference.

* 7. The following questions can be found on the conference website and represent questions that are being posed for reconsideration, thought, and dialogue.

* How can we rethink our organizational structures so we work smarter in tough economic times, meet the needs of a rapidly changing student body, and keep our faculty colleagues up to speed -- all without sacrificing those aspects of the academy we hold most dear?

* How do we create, assess, and disseminate world-class faculty and organizational development programs?

* How can we foster collaboration at nationwide levels, as well as in our own departments and across professional organizations?

* How do we best teach, develop, and support the next generation of faculty and faculty developers?

* How can we help faculty members engage their students and institutions, and, maybe more importantly, how do we engage with the myriad stakeholders who influence and affect the work we do, including students, faculty, administrators, policy makers, and the general public?

Please choose one of these five questions and provide a fresh insightful response of 200 words or less.

* 8. Please choose a second of the five questions above and provide another insightful response of 200 words of less.

* 9. Please answer this question in 300 words or less:
How will you use this experience in the word of your union/local association chapter?

* 10. Please answer this question in 300 words or less:
How do you see this experience affecting your professional work as a member in your higher education institution to promote diversity, minority partnerships, and collaboration?