2009 CoSN Call for Presentation Submission Form
  Please check the information you enter carefully.  Once submitted you will not be able to go back and alter/make changes to your submission. Please write in complete sentences. Do not use bullets.

* Required Fields
 

1.

*Title of Presentation:
  
2. *Track/Subject Area (Select ONLY one):
  
3. *Identify which framework of CoSN’s Essential Skills this presentation/topic best relates to. (Check all that apply)
 Leadership and Vision
 Planning and Budgeting
 Team Building and Staffing
 Systems Management
 Information Management
 Business Leadership
 Education and Training
 Ethics and Policies
 Communication Systems
4. *Short summary of presentation in narrative form. This summary should state what the audience will learn/benefit by attending the presentation (150 words or less):
  
5. *Provide 3 learning objectives for the presentation. Use verbs that are clearly behavioral and measurable, such as describe, discuss, explain and recite. Do not use terms, such as understand better or have a clear appreciation for:
  

 

 
6. *Provide a concise description/abstract of your proposed presentation in narrative form (450 words or less). Please, do not use bullets:
  
7. Presenter Information
  *Primary Presenter:    Member Non-Member
  *Organization or Member Type:   Institution Corporate Media Government Individual
  *Institution Subcategory:  
  Prefix:   *First Name:     *Last Name:     Suffix:  
  *Title:   
  *Division/Department:   
  Organization: 
  *E-mail:   
  *Work Phone:   
  *Address 1:   
  Address 2: 
  *City/State/Zip:   ,    
  *Biography: Provide a short biographical sketch in narrative form (200 words or less):
  
8. Presenter 2 Information (if applicable): Member Non-Member
  Organization or Member Type: Institution Corporate Media Government Individual
  Institution Subcategory:
  Prefix:   First Name:    Last Name:    Suffix:  
  Title: 
  Division/Department: 
  Organization: 
  E-mail: 
  Work Phone: 
  Address 1: 
  Address 2: 
  City/State/Zip:  ,
  Biography: Provide a short biographical sketch in narrative form (200 words or less):
9. Audio Visual Needs: A standard breakout room set will be a LCD Data Projector, Screen, High Speed Internet Connection and lectern. Please note any additional requirements:
 VCR
Computer patched into house sound system
Other: 
10. Speaker Release: We agree to give CoSN permission to reproduce all material submitted. In addition, we give CoSN permission to audio tape/video record and distribute the tape recording of my presentation. We agree to waive all claims to any royalties in conjunction with sales of the tapes. This does not in any way limit the presenters’ right to have the materials published or presented in other forms.
    We agree to the above conditions.   We do not agree to the above conditions.