MINNESOTA INDIAN EDUCATION ASSOCIATION
27th ANNUAL CONFERENCE
OCTOBER 5 - 7, 2011
Shooting Star Event Center, Hotel & Casino
Mahnomen, MN
PRESENTER APPLICATION
PROGRAM TITLE_________________________________________________________
INTENDED AUDIENCE: 
STUDENT_____ ADULT_____ COMBINATION ______
STUDENT_____ ADULT_____ COMBINATION ______NAME OF PRESENTER(S)___________________________________________________
INSTITUTION(S) NAME(S): ______________________ _____________________
_____________________ADDRESS ______________________ ____________________
______________________ ____________________ ______________________ ____________________ ______________________ ____________________PHONE: _________________________ _______________________
_______________________FAX: _________________________ _______________________
_________________________ _______________________E-Mail: ______________________ _____________________
EQUIPMENT
_____ White Board _____ Slide Projector _____ Power Point Screen
_____ Slide Projector _____ Power Point Screen_____ VCR _____ Overhead Projector
_____ Overhead Projector _____ DVD player _____ Other
ABSTRACT OF WORKSHOP (50 words or less, please use back of this application):
Abstracts are due and must be postmarked by September 9, 2011. The Agenda Committee will review your proposal and contact you in September.
Submit complete, publication-ready abstract by: September 9, 2011
Jody Steile For Committee Use Only
For Committee Use OnlyP.O. Box 418 Source ____________________________
Source ____________________________White Earth, MN 56591 Time _________ Day ________________
Time _________ Day ________________(218) 983-3285 Room _____________________________
Room _____________________________steilejo@mnstate.edu
Fax 218-983-3705 Workshop No. ______________________
Fax 218-983-3705
Workshop No. ______________________ 