NCCCADL - Request For Presentation Form

Teachers will never be replaced by technology - but teachers who use technology will replace those who do not.

B.W. Seibert


	Presenter Conference Registration/RFP The NC3ADL invites you to present at our 5th annual conference: Clicks & Mortar: Exceeding The Limits With Distance Learning. We have extended the conference to three days. Sunday, March 14, we plan to offer 4 sessions, 2-hours in length from 3-5 PM. Monday and Tuesday, March 15 and 16, the majority of sessions will be 1-hour in length. If you would like to book a double session for 2 hours, let us know and we should be able to accommodate your requests. Please complete the following form and submit no later than February 26, 2010. A member of the NC3ADL will contact you shortly to confirm receipt of application. Note: This is a two step process. First, complete and submit the RFP by February 26, 2010. Second, complete and mail the conference registration form. First Name: Last Name: Professional Title: College or Organization: Address: City: State: Zip Code: Office Phone: Email: Vendor: Yes No Presentation Title: Description: (500 words or less.) Presentation Type: Co-presenters: (names and titles) Presentation materials to be distributed: Description of how participants can apply information presented to their own DL programs or courses: Session AV requirements (Click all that apply.) None Internet Access Data Projector Other Session Length: 1 Hour 2 Hours 2 Hours Hands-On (Participants must bring laptop.) If Session Hands-On, please indicate all required software and/or downloads the participants will need. Are you willing to repeat session - one on each day? Yes No Preferred Times: Sun PM Mon AM Mon PM Tues AM Tues PM (We will do our best to accommodate your requests.) Registration Fees For Presenters: $100 - Attend all three days (member) $150 - Attend all three days (non-member) Note: This is a two step process. Once you click the submit button below, you will be prompted to complete and mail the conference registration form and payment. (Please enter the verification number shown in the box.)