Coordinating Presenter's Name:

Organizational Affiliation(optional):

Email Address:

Campus Address:

City, State, Zip:

Phone Number:

Co-Presenter Name & Email Address:

Proposed Session Title:

Provide a detailed description of your proposed session, including its general format, a brief outline of the structure and activities involved, and its connection to Multiculturalism and/or Leadership.

Select from the following list those items necessary for your presentation, and please note that we cannot provide laptops for your use:

(hold down your control key to select more than one) No technical equipment needed LCD/Multimedia Projector Television DVD Player(please use laptop if possible) CD Player VCR Dry-Erase Board Easel,w/chart Other

Notes or Special Requests: