WNYSLC 2016 Conference Presentation Proposal

Primary Presenter:
Sal: Mr.Mrs.Ms.Dr.Rev.Fr.Sr.Sgt. * First:  M:  * Last: 
*Title: 
*Institution/Organization: 
*Address 1: 
Address 2: 
*City:  *State: AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY *Zip: 
*Phone:  *Email: 

Additional Presenters: 0123456

Presentation Information:
*Title of Presentation: 
*Session Format: 
30 Min Workshop
60 Min Workshop
Poster or Visual Presentation

*Short Description/Abstract for conference program (max 75 words)
 

*Conference Proposal (max 500 words)
 

Nature of your involvement with community engagement:
Faculty
Student
Higher Education Administrator 
Community Partner 
Other (please specify) 

*A/V needs - Please select audio visual equipment needed for your presentation:
Flip charts and easel
LCD projector, screen and computer (with Powerpoint)
Internet
Overhead projector
Television/DVD player
Other (please specify)
None

Visual/Poster Sessions only(easel provided for all):
5' Table
Electrical connection
Television/DVD player (limited availability)