Presenter Application Form 

FIFTEENTH ELMLE CONFERENCE
Budapest, Hungary
January (25th) 26th-28th, 2001

Dear Colleague:

ELMLE invites you to submit a proposal to present at the 2001 Annual Conference in Budapest, Hungary. This conference is the only one of its kind in Europe-dedicated exclusively to consideration of educating the middle school student. Please be informed that all presenters serve on a contributing basis. As contributors-- presenters cannot be reimbursed for lodging, travel, presentation, or conference registration fees. Conference fees meet the cost of lunches, coffee breaks and a Friday evening reception as well as venue costs for all participants.

Please complete this application and return it prior to October 15, 2000 to:

Ms Veronica McCaffey , ELMLE Program Committee
Institution American School in London
Institution Address 2-8 Loudoun Road
London NW8ONP, England.
Institution Telephone Fax: (44) 207 4491350
E-mail ELMLE Program Committe at: fili_rojo@asl.org

PRESENTER(S) - Please Print or Type

 Circle:  Dr  Mr  Mrs  Ms  Miss

 Name __________________________________________________________________

 Circle One:   Teacher   Administrator    Exhibitor   Other

 Position/Grades Taught (Subject) _____________________________________________

 School/Institution Name ____________________________________________________

 Address ________________________________________________________________

 _______________________________________________________________________

 Residence Address ________________________________________________________

 _______________________________________________________________________

 Work Phone: (_____)(_____)(___________________)

 Home Phone: (_____)(_____)(___________________)

 Fax Number: (_____)(_____)(___________________)

 E-mail Address ___________________________________________________________
 

If a group presentation, please list all other presenters below:

 Name _____________________________ School/Institution _______________________

 Name _____________________________ School/Institution _______________________

 Name _____________________________ School/Institution _______________________

 Name _____________________________ School/Institution _______________________

 Name _____________________________ School/Institution _______________________

Administrator Authorization/Signature __________________________________________

 I.   JOB ALIKES

 I would be willing to act as a "Job-alike" coordinator. (A Job-alike is a session in which departments and/or specialists meet.)

 Name _____________________________ Subject Area __________________________
 

II. SESSION PRESENTATION

 Title ____________________________________________________________________

 Abstract: In approximately 100 words and ready for publication in the conference program, give a summary of the session contents. Please Print or Type!
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 Target Audience (circle one): Advanced      Beginners      All     Parents

 Time required: _____ Single Session (50 minutes) _____ Double Session (2 x 50 minutes)
Are you willing to present this session more than once? __ Yes __ No

III. AUDIO VISUALS

 Following is the list of audio-visuals available at the conference. Please check the needed material. Should additional equipment be necessary for your presentation that is not listed below, we ask you to supply your own.

IV. ARTICLE FOR PUBLICATION

Are you willing to write an article on your subject for the ELMLE Journal? If so, submit it prior to October 15, 2000 to Mrs. Gail Owen, American International School of Bucharest, Dorobantilor 39, Bucharest, Romania.

** For every article published, the author will receive a 50% reduction in conference registration fee. **

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