MINNESOTA INDIAN EDUCATION ASSOCIATION

25th ANNUAL CONFERENCE

OCTOBER 7 - 8, 2009

 

PRESENTER APPLICATION

 

PROGRAM TITLE_______________________________________________________

 

INTENDED AUDIENCE:    STUDENT_____   ADULT_____   COMBINATION ______

 

NAME OF PRESENTER(S)________________________________________________

 

INSTITUTION(S) NAME(S):    ______________________      _____________________

 

ADDRESS   ______________________      _____________________

    ______________________      _____________________

   ______________________      _____________________

PHONE:       _________________________     ________________________

FAX:    _________________________     _______________________

E-Mail:        ______________________             _____________________

 

EQUIPMENT

_____ White Board     _____  Slide Projector          _____   Power Point Screen

_____  VCR           _____  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 August 31.  The Agenda Committee will review your proposal and contact you in September.

 

Submit complete, publication-ready abstract by:  August 31, 2009

 

Jody SteileFor Committee Use Only

P.O. Box 418            Source ____________________________

White Earth, MN 56591  Time _________   Day ________________

(218) 983-3285         Room _____________________________

jodyv_s@hotmail.com
Fax 218-983-3705            Workshop No. ______________________