|
NCEA Convention Proposal Form
|
| For which department would you like to present? * |
|
|
| Are you submitting this proposal to another department? * |
|
Yes
No
|
| If Yes, please indicate the department. |
|
|
| Proposed Topic * |
|
Please write a 1-2 sentence description of the material you plan to cover.
|
| Proposed Title * |
|
Proposed title that will attract an audience.
|
| Who is your PRIMARY target audience for this proposed workshop? If applicable, you may select up to 3 groups. * |
|
Elementary School Teachers
Middle School Teachers
Secondary School Teachers
Elementary School Principals
Secondary School Principals / Presidents
Board Members
Diocesan Administrators
Librarians
Pastors
Development Directors
Seminary Faculty
NPCD / Religious Education Directors
Catechists
Other
|
| If Other, Please Specify: |
|
|
| Session Description * |
|
Please write a 3-5 sentence description of your workshop that will attract people to your presentation and be used in the final program.
|
| Are you submitting more than one proposal for the 2012 NCEA Convention? |
|
Yes
No
|
| Title of Additional Proposal(s) |
|
Titles of any other proposals you might be submitting in addition to this one.
|
| Submitted to: |
|
|
Speaker Contact Information - For NCEA Use Only
Your registration information. A valid email address is required.
|
| Prefix * |
|
|
| Speaker's First Name * |
|
|
| Speaker's Last Name * |
|
|
| Suffix |
|
|
| Speaker's Position |
|
|
| Speaker's Institution/Organization |
|
|
| Address |
|
|
| Speaker's Arch/Diocese |
|
|
| Speaker's Email Address * |
|
A valid email address where you can be contacted with up to date schedule information.
|
| Confirm * |
| |
| Speaker's Phone Number |
|
|
| Speaker's Fax Number |
|
|
| Speaker's Cell Phone Number |
|
This information is for NCEA ‘s records and will only be used if we need to contact you outside of regular business hours.
|
| Are you having a co-presenter? * |
|
Yes
No
|
| Co-presenter's Prefix |
|
|
| Co-presenter's First Name |
|
|
| Co-presenter's Last Name |
|
|
| Co-presenter's Suffix |
|
|
| Co-presenter's Position |
|
|
| Co-presenter's Institution/Organization |
|
|
| Co-presenter's Address |
|
|
| Co-presenter's Arch/Diocese |
|
|
| Co-presenter's Email Address |
|
A valid email address where you can be contacted with up to date schedule information.
|
| Confirm |
| |
| Co-presenter's Phone Number |
|
|
| Co-presenter's Fax Number |
|
|
| Co-presenter's Cell Phone Number |
|
This information is for NCEA ‘s records and will only be used if we need to contact you outside of regular business hours.
|
| Additional information you wish to provide (maximum: 150 characters) |
|
|
| Image Verification |
 |
|
|
| |
National Catholic Educational Association
