MMC: MMC Conference 2012 Speaker Proposal Form

MMC Conference 2012 Speaker Proposal Form

Please give information for ALL speakers.
If needed, fill out a second form for additional co-speakers.


Lead Speaker:
	First Name:	Last Name:
	School or Affiliation:
	Email:
	Daytime Phone:	Evening Phone:

Co-Speaker:
	First Name:	Last Name:
	School or Affiliation:
	Email:

Preferred Mailing Address:
	Address:
	City:	State:	Zip Code:

Workshop Information:
	Title:
	Workshop Description (25 words or fewer):

Approximate Grade Band:
	Participants will use this information to determine their sessions. Please select the grade levels (K-16) for which your session is appropriate.
	through


Equipment Needs:
	Every room will have a chalkboard or whiteboard. Please indicate any additional needs below, including overhead projectors, being very specific. Workshops have a maximum capacity of 28 participants. Calculator sets consist of 30 calculators and viewscreen.
	TI-84:	TI-89:	TI-Nspire:	TI-Nspire CAS:	Other Calc:
	Overhead Projector:		Computer Lab:		Internet access:
	Bring own computer and projector:		Single computer and projector:		Computer projector only:
	Other equipment needs (be specific):
	Will you repeat your session?			Will you stay for lunch? (on MMC of course!)

Metropolitan Mathematics Club is incorporated under the general Not For Profit Corporation of the State of Illinois.

Last Update: Wed, May 25, 2011
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