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conference presentation submission form


Conference Proposal Submission | Virtual Proposal Submission | Post-conference Publication | Publishing Agreement
 

Enter full details of first author below,
and then enter details of additional authors
in the next column >

Title:
(e.g. Ms, Dr,
Assoc. Prof.)

(1)

Given Name:

(2)

Family Name:

(3)
   
In this box enter your full name in your preferred order as you wish it to appear in publication - alternatively the default will apply, this being in the order of 1, 2, 3 as entered above
 
   
   

Position:

Name of
Institution/
School/
Organisation/
Department:

Address
of above:

Alternative/
Home Address:

Work Tel:

Work Fax:

Home Tel:

Home Fax:

Mobile:

Email:

 

List all Authors/Presenters for this proposal:
Full Name, Affiliation, Work & Home Address, Contact Details & Email Address of each person

Confirm if Attending Conference
YES NO
       
 1: 
First Person: Name only required here
(contact details as noted at left)

Y

N
       
 2: 
Y

N
       
 3: 
Y

N
       
 4: 
Y

N
       
 5: 
Y

N
       

 6: 

Y

N

PRESENTATION PARTICULARS
Title of Proposal:
150 Word Abstract of Paper/Presentation:
50 Word Bionote or One Paragraph CV

Presentation Format (select option below):
Paper 30 minutes
or 

Workshop
60 minutes

 Equipment Requests

TV/VCR

Equip. Notes:

Data Projector for powerpoint presentation

  • Overhead Projectors will be available in each room.
  • Data Projectors are subject to availability, technical and room allocation limitations. We recommend presenters requesting Data Projectors for a PowerPoint Presentation bring their own portable computer and an alternative form of presentation, such as overhead transparencies.
  • International presenters should obtain a power adapter plug for their computer to convert to local power use.

Comments/Notes:


Please complete this last section before submitting proposal:

FULL NAME (required):

COUNTRY:

EMAIL (required):

 

- when you have checked your entries on this form and completed this section, press the <submit> button once only.
- the contents of your submission will appear in your browser window and you may print a copy for your records.
- your submission will be processed and an acknowledgement/confirmation, together with the full submission details, will be sent to you by email.
- should you need to make any changes, this may be done after you have received the email.

Conference Proposal Submission
Post-conference Publication
Virtual Proposal Submission
Publishing Agreement


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Learning Conference 2002, PO Box K481 Haymarket NSW AUSTRALIA 2000
Tel: +61 (0)2 9591 5661    FAX to: +61 (0)2 9591 5762