1.  Name of Contact Presenter:
Mailing Address:
(City, State, ZIP Code)
Telephone: (xxx-xxx-xxxx)	Home: ;  Work:
e-mail:
2.  Are you a member of CoTESOL or a Regional TESOL Affiliate?YesNo
(Please note: All presenters must register for the convention.)
3. (Name of 1st co-presenter):
(Name of 2nd co-presenter):
(Name of 3rd co-presenter):
4.  Presentation Title:
(Seven-word maximum)
5.  Type of Presentation (check one):
Paper (45 minutes)	Demonstration (45 minutes)
Panel/Symposium (1 hour 45 minutes)	Workshop (1 hour 45 minutes)
Poster Session (45 minutes)	Discussion (45 minutes)
6.  Abstract for Program book (50-word maximum and confined to this space):
Number of words in this abstract?
7.  Biographical Statement(s) (for all presenters) (25 words per presenter; maximum of 100 words total):
Number of words in this biographical statement?
8.  Intended Audience (check up to three)
Adult Education (AE)	Teacher Education / Action Research (TE /AR)
Bilingual Education (BE)	Computer-Assisted Language Learning (CALL)
Elementary Education (EE)	Higher Education (HE)
Program Administration (PA)	Secondary Education (SE)
General Audience (GA)	Intensive English Programs (IEP)
9.  Audio-Visual Needs:  TV/VCR/DVD
All presentation rooms will have overhead projectors (with transparencies and markers) and screens. All other equipment is the responsibility of the presenter (i.e., audio players/recorders). Note that we do NOT supply digital/LCD projectors or laptop computers. Presenters must also provide their own technical support for these types of equipment. The hotel has a commercial A/V provider. The hotel offers free Internet access throughout the building
PRESENTATION SUMMARY: In the space below, write a 50-to-200-word summary. As with the abstract, your summary should include the objectives, a description of the content (central idea or purpose and efficient supporting detail) and an explanation of session activities. The summary will be read by SIG referee committee of your choice and will not appear in the program booklet.
Title of the Presentation:
Special Interest Group to Read Your Paper:
Adult Education (AE) Teacher Education / Action Research (TE / AR) Intensive English Program / Higher Education (IEP / HE) Secondary Education (SE) Elementary Education (EE)
Summary:
Number of words in this summary: