Name:
Institutional Affiliation:
Nature of Affiliation student, assistant professor, director, etc. - please indicate how you would like to be identified on our program):
Mailing Address:
Street:
City, State, Zip:
Home Phone:
Work Phone:
Email:
Title of Presentation:
If you submitted as the contact for a full session, please indicate the names, affiliations, and contact information for all presenters on the panel:
Please identify any scheduling conflicts that we should consider (We will make every possible effort to accommodate such preferences, but we can only do so if we have the information by December 7):
Do you plan on attending the dinner at 5:30 pm on Wed., March 12?
Yes
No
Names of additional panelists/presenters who will attend dinner. (We regret that we are unable to include guests of presenters at the dinner). If you submitted as the contact for a panel, please RSVP on behalf of the others on your panel.
Media Needs: My presentation will use these applications: My presentation requires audio playback from the computer
No
Yes
My presentation requires an internet connection
No
Yes
I will bring my notebook computer, with my presentation on it, to Lewis & Clark to be connected to College's data projector (note: it is easier to use provided laptop with a memory stick)
No
Yes
My notebook computer runs
N/A
Windows operating system
Mac operating system
I will not bring a notebook, but will bring my presentation on (we strongly suggest that you test your presentation on a different computer before you travel):
N/A
CD
DVD
USB Drive (memory stick)
Additional comments or concerns:
