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Workshop Confirmation Form

19th Annual NWSLC
Nov 14-16, 2008
Portland State University, Oregon

Presenter

* Name

* Organization

Street Address

City

State

Zip

* Email

* Phone

Workshop

* Title

Description
In 70 words or less, please provide a description of your workshop as you would like it to appear in the conference program (submissions may be edited). Please include activities that will happen in your workshop (“there will be small group discussion” or “physical activities include jumping-jacks”):

We reserve the right to edit this piece for length and content.

Have you presented this before?
Yes No

Will your workshop have an interactive/participatory component?
Yes No

Will you include handouts?
Yes No

Basic (B) or Advanced (A)?
Basic Advanced

If it is Basic, could you make your workshop more advanced if we needed you to?
Yes No

Workshop times are set at 1-h, 20 min. Will your workshop to fit within this time?
Yes No

What are your preferences as to the day and/or time you present this workshop?*please note that these time slots may change slightly*
None
Friday
05:00p – 06:15p
Saturday
09:15a – 10:45a
11:00a – 12:10p
02:10p – 03:20p
03:30p – 04:40p
04:50p – 06:00p
Sunday
10:15a – 11:25a
11:35a – 12:45p

Room/Equipment

* Please indicate the room arrangements you prefer by marking the boxes below (subject to space limitations):
No preference
Conference
Lecture
Classroom
U-Shape
Rounds
Open Space

* Which of these would be acceptable? (You may mark more than one.)
Flipchart
Dry Erase
Blackboard
Transparency Overhead Projector
Computer Projector (limited supply)
Other (please specify):

Register Now! Join the NWSLC Steering Committee Oregon Student Foundation

Contact Info

Oregon Student Foundation
635 NE Dekum St.
Portland, OR 97211
Phone: 503-286-0477
Fax: 503-286-0924 Email:(JavaScript must be enabled to view this email address)