conVerge12 - Call for papers

Please complete this form to submit your expression of interest to present at conVerge12.

If you have any questions regarding your submission please contact converge@eworks.edu.au.

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* 1. Organisation Name

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* 2. Organisation Type

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* 3. Funding Type

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* 4. Project Title (if your presentation is project funded)

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* 5. Presenter Name
NB: it will be this named presenter who will receive the unique code for the reduced registration price.

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* 6. Presenter Email

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* 7. Presenter Contact Number

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* 8. Presenter Bio
Please give a description of your work and e-learning experience. (50 words MAX. Anything over 50 words will be edited.)

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* 9. Name of Additional Presenters

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* 10. Presentation Title

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* 11. Presentation Description
In 100 words or less, please describe what you will be presenting, who should attend, any special highlights or key messages and what the delegates will take-away from your session.

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* 12. Conference Sub Theme (please select the most applicable category)

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* 13. Audience - E-learning Level
Please select as many that apply.

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* 14. Audience Demographic
Which audience(s) will your session apply to?
Check as many that are applicable.

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* 15. What delivery mode will you use?
Check only one.

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* 16. My proposal is for a session that will...
Check as many that are applicable.

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* 17. Session Type

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* 18. Availability

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* 19. Please note any additional software requirements (eg. Blackboard Collaborate).

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* 20. Additional Comments / Information

Thank you for your interest in presenting at conVerge12.

Once all submissions have been reviewed we will confirm the outcome of your submission, we anticipate this being in September.

For more information on conVerge12, please go to www.eworks.edu.au/converge

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