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2012 Preliminary Conference Approval Form

To be submitted to the Conference Director Carrie Plymire and the MLA office, by October 14, 2011. All fields, except the Comments field, are required.

Presenters, please do not fill out this form unless you are the program planner from a sponsoring MLA division or group. Thank you!

Sponsoring Unit

Topic of Program

Proposed Day

Time

Length of Program

Pre-Conference

Conference

Learning Objectives - (At the conclusion of the program, participants will be able to...)
Remember--Objectives must be measurable

Format (Structure of program, e.g. hands-on workshop, lecture with Q & A, panel, etc.)

Suggested Speaker(s)

Estimated Size of Audience

Estimated Cost $

Program Planner

Contact Name

Email

Phone

Fax

Additional Comments

Please verify all information before submitting this form. Thank You.

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