Last Name First MI

Title/Position

Home Contact Information

Address

City State Zip XXXXX

Home Phone ( ) -- Cell ( ) --

Fax ( ) --

Home email

Home Email Verify

Business Contact Information

School/Organization Name:

Address

City State Zip XXXXX-XXXX

Work Phone ( ) -- Ext.

Fax ( ) --

Business email

Business email verify

I prefer to be contacted at

Home
Work

Co-presenter information

TFLA welcomes multiple presenters; however, registration fees will be waived for a maximum of two (2) presenters per session or workshop.
All communication will be with the primary presenter.

Name

Title

This presentation will be made by: Exhibitor Publisher Supervisor Teacher

This presentation is best presented in a

  75 Minute Session 3 Hour Workshop

Target Language

MAC USERS - Use command (apple) + to select more than one
WINDOWS USERS - Use ctrl + to select more than one

Applicable levels

Select Early Childhood Elementary Jr. High/Middle School High School Post Secondary

MAC USERS - Use command (apple) + to select more than one
WINDOWS USERS - Use ctrl + to select more than one

Presented in

Select ASL English French German Japanese Latin Russian Spanish Other (Specify) other

MAC USERS - Use command (apple) + to select more than one
WINDOWS USERS - Use ctrl + to select more than one

Handouts in

Select ASL English French German Japanese Latin Russian Spanish Other (Specify) other

MAC USERS - Use command (apple) + to select more than one
WINDOWS USERS - Use ctrl + to select more than one

Presentation Title (Select your title carefully to be sure that it clearly reflects the content of your presentation)

Abstract

Provide a clear,  concise (100 words or less) abstract of your presentation. This will be printed in the program and must correctly reflect the focus of your presentation.  (Proofread carefully.  Abstract will be printed exactly as you type it.  Spelling and grammar errors reflect negatively on your presentation.)

TFLA will try to accommodate reasonable requests for AV equipment such as screens, overhead projectors, etc. on a limited basis. No guarantee can be made as to the availability of this equipment. It is recommended that you check with the Program Chair to verify equipment availability one week prior to the conference. Please indicate your needs below.

If you have further AV needs, please contact the hotel directly to make arrangements.

Preferred Room setup (TFLA will try to accommodate these needs but no guarantee can be made.)

Tables Theater

Do you need a head table? No Yes

Session/Workshop Proposal

In the space below, please provide a detailed description of your proposed presentation. describe content, procedures, methods of presentation and benefits of your session to participants. This should be an extension of your abstract.