Learning Assistance Association of New England

Session Title:

Session Type: (Please note that all sessions are 60 minutes in length.)

PresentationWorkshopDemonstrationPanel Discussion

Contact Presenter Information:

Name:

Title:

Institution:

Office Address:

City: State: Zip Code:

Telephone: Fax:

E-Mail Address:

Summer Address: (Only if different from above)

City: State: Zip Code:

Telephone: Fax:

E-Mail Address:

Co-presenters: (List additional names in the order they should appear on the printed program):

Name: Phone:

E-mail:

Title:

Name: Phone:

E-mail:

Title:

Name: Phone:

E-mail:

Title:

If you have more than three co-presenters, after submitting this form please email Norman Beebe (beebe@gcc.mass.edu) with the additional names, titles and contact information.

Summary: 250-500 word summary of your presentation, describing the objectives and content. Please be detailed in how your session will be presented

Abstract: 75-100 word summary of your presentation. If your proposal is selected, this abstract will be published in the Conference Proceedings

Biography (primary presenter): 75-100 word biography for presenter

Biography (co-presenter 1): 75-100 word biography for presenter

Biography (co-presenter 2): 75-100 word biography for presenter

Biography (co-presenter 3): 75-100 word biography for presenter