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2009 Conference - October 22-23, 2009
Columbia Metropolitan Convention Center
Columbia, SC
Speaker Proposal Form

Use the TAB key to navigate fields; do not press ENTER until you have completed the form. Press the SUBMIT button at the end of the form to send your information. If you do not receive a confirmation e-mail shortly after pressing SUBMIT, your information has not been received.

Check date preferred:

Oct. 22 (Thursday) Oct. 23 (Friday) Either date

Enter number of speakers for session:
If the number of speakers is more than one, enter the last name of the first speaker:

Speaker Information (Name, Affiliation as it will appear in the program)

Speaker Name:
First MI Last

School or Organization

Preferred Mailing Address: Street/P.O. Box		Contact Information: (Most communication will be via e-mail.) e-mail
City		Work Telephone	Home Telephone
State	- Zip+4	Fax Alternate e-mail

If there is more than one speaker for the session, provide information for each additional speaker below:

Second Speaker Name:
First MI Last

Affiliation

Preferred Mailing Address: Street/P.O. Box		Contact Information: (Most communication will be via e-mail.) e-mail
City		Work Telephone	Home Telephone
State	- Zip+4	Fax Alternate e-mail

Third Speaker Name:
First MI Last

Affiliation

Preferred Mailing Address: Street/P.O. Box		Contact Information: (Most communication will be via e-mail.) e-mail
City		Work Telephone	Home Telephone
State	- Zip+4	Fax Alternate e-mail

Session Type (Please check only one):

Attendees are seated at tables for workshops and mini-courses. Sessions are theater seating only. Please review each Session Type Description BEFORE making your selection below.

  Session (1 hour)              Workshop (90 minutes - Check Size <50    >49)              Mini-course (3 hours)            Gallery

Display               Interactive Whiteboard (Check Preferred Time:  1 hr. session   or   90 min. Workshop   or     3 hr. Mini-Course)
                                                                              Specify type of Whiteboard

Grade Level (check primary level):

PK-Grade 2 Grades 3-5 Grades 6-8 Grades 9-12 College General

Standard (check primary standard):

Number & Operations Geometry Data Analysis & Probability

Algebra Measurement Process Standards

Would you be willing to repeat your presentation? Yes No

Title of Presentation: (Not to exceed 90 characters, including spaces).

Description of Presentation: (Not to exceed 25 words).

Audio-Visual:
A standard overhead projector and one screen will be provided in regular rooms.
Limited whiteboard sessions will be available and must be requested above.

NO COMPUTER LABS WILL BE PROVIDED. ANY SPECIALIZED EQUIPMENT OTHER THAN THE AFOREMENTIONED WILL BE THE RESPONSIBILITY OF THE SPEAKER.

PLEASE SUBMIT BY June 1, 2009

For additional information, contact Donna Foster, SCCTM Program Chair, P. O. Box 210887, Columbia, SC 29221-0887.