Interest Session Proposal
Deadline:
Name__________________________________________________________________________
MENC/ACDA ID#___________________ Expiration
Date______________________
Address_______________________________________________________________________
City______________________________ State
________________ Zip Code_______________
Office Phone _________________________ Home Phone
____________________________
Cell Phone ________________________ e-mail
______________________________________
Grade Level: (Circle all that apply) Elementary Junior High High
School General
§
Clinicians
must be a member of MMEA/ACDA
§
Proposal
applications must be e-mailed or postmarked no later than
§
Session
descriptions must be included – maximum 50 words
§
Clinician
biographical information must be included – maximum 150 words
§
Clinician
photograph must be included (photos may be e-mailed as jpg to e-mail address or
sent as hard copy to address below.
Session Title
___________________________________________________________________
Session Description (50 words or less)
_______________________________________________________________________________
Bio of
Session Presenter (150 words or less)
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Demonstration
group needed? ___Yes
___No Will Clinician provide demonstration group? ___Yes __No
Requests for meeting Room set-up:
Space Needed __________________________________________________________________
Equipment:
_____Overhead Projector
_____VCR _____CD Player _____Extension Cord
_____ Piano _____Music
Stands
________________________________Other
_____I will provide my own equipment. (*The
clinician must provide computer related audio-visual equipment. Hook-up charge by hotel is $75.00 a day for
outside connection, computer line is $375.00 per day, and projector is $400.00
per day.)
*MMEA/ACDA
REGRETS THAT MONETARY ASSISTANCE IS NOT AVAILABLE FOR PRESENTERS.
Application
Deadline: February
1, 2010
Mail proposal to:
Linda
Gibbs, MMEA President
601.987.3594(W)
~ 601.366.6061 (H) ~ 601.982.4066 (F) ~ lgroberts1@aol.com