16th MST Conference 3/20-21/04          CSU BAKERSFIELD      
PRESENTER PROPOSAL FORM

Name __________________________________Email __________________

Address __________________________City_________________________

State, Zip ___________________________ Phone_____________________

School/Institution/Company__________________Position ________________

TITLE OF TALK ______________________________________________

SUBJECT AREA(S):     Math               Science          Technology
CONTENT LEVEL (circle):   K-2    3-5   6-8    9-12    ADMIN      other___
BRIEF DESCRIPTION (make it inviting!)_________________________ _____________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Obtaining a presider for your session, should you require one, is your job.
EQUIPMENT NEEDS:  Each room has one table and one overhead projector.  You must submit your request for other needs in advance.  We will be unable to accommodate requests made during the conference.  Describe needs:________________________ ___________________________________________________________________ _________________________________________________________________

ADDITIONAL INFORMATION (circle when appropriate):
1.      Do you need a room with tables (first come, first served)?  No              Yes

2.      If there is anytime during the conference that you would be unable to present, please indicate here: ___________________________.
3.      In addition to our 45min slots, we will be offering 90min slots.  Circle:    90     45

4.     Would you be willing to do 2 sessions on your topic?                 NO               YES

         If yes, do you want to present the sessions back to back?       NO                YES

Please Return Proposal Forms By January 15th To:
   MST-School of Education                                                     For more information:
   California State University, Bakersfield                                   Call 661-665-6123
   9001 Stockdale Highway                                                       Email mst@csub.edu
   Bakersfield CA 93311-1099                                                 http://www.csub.edu/mst
         or fax 661-664-2199