Summary: 2007 NCPEA Conference Within a Conference Submission

Save this form to your desktop, complete, and upload to submission form accessed from the NCPEA web page.
1.Title of Proposal:____________________________________________________________________________________________________
____________________________________________________________________________________________________
2.Primary Author and SOLE CONTACT Person for Notification of all Co-Authors:
Full Name:___________________________________________
Title: ___________________________________________
Affiliation:___________________________________________
Address:___________________________________________
Personal Phone: ( )___________________________________
Your email address___________________________________(Please print clearly)
I will assist with the review of conference proposals: Yes__ No__
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Co-Author(s): (Note:”Primary” Author will be responsible for all notifications)
A. Full Name:___________________________________________
Title::___________________________________________
Affiliation:___________________________________________
Address:___________________________________________
Personal Phone: ( ) ______________________________
Email: _____________________________
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B. Full Name:___________________________________________
Title: ___________________________________________
Affiliation:________________________________________________
Address:___________________________________________
Personal Phone: ( ) _____________________
Email:___________________________________
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C. Full Name:___________________________________________
Title: ___________________________________________
Affiliation: ________________________________________________
Address:___________________________________________
Personal Phone: ( ) ____________________
Email:___________________________________
(Please try to limit co-authors. Only 2 may present in the time provided at the conference)
3.NASSP will provide an overhead projector with screen and stand. Please bring your own lap top and LCD projector.
If this proposal is accepted and placed on the program, I promise to appear, and I will provide a minimum of 30 copies of the full paper to the audience. I also certify that this proposal represents work or ideas NOT previously published or presented in their entirety at other professional meetings. I also certify that I will notify all my co-authors regarding the acceptance or rejection of this proposal.
____________________________________________________________________________________________________________
Signature (primary author or presenter)Date
YOUR EMAIL ADDRESS: _________________________________________
NOTE:All Correspondence to presenters will be via email with the first-named author only. That person, in the case of multiple authors, has the responsibility to convey the information to the others in a timely fashion.
DEADLINE: SEPTEMBER 15, 2006 @ 5:00P.M. Visit http://www.ncpea.netto submit your proposal online.