Massachusetts Academy of Math and Science at WPI

Speaker Proposal Form

Deadline for Speaker Proposals is September 1, 2005.

* = Required Fields

Note: All conference correspondence will be done via e-mail. If your e-mail changes, please let us know.

Speaker Information

First Name*

Last Name*

Shirt Size

Co-Presenters

Note: Only the primary speaker will receive complimentary registration.

Contact Information

First Name*

Last Name*

School/College Name

District

Address*

City*

State/Province*

Zip/Postal*

Country

Home Phone

School/College Phone

E-mail*

Note: All correspondence will be done through email.

Fax

Position

Level

Position Focus

Algebra 1
Algebra 2
Biology
Calculus
Chemistry
Engineering
General Math
General Sci.
Geometry
Physics
Pre-Algebra
Pre-Calculus
Statistics
Other

Session Information

Title of proposed session (60 characters maximum)*

Note: Select a title that is specific and descriptive so attendees understand the focus and intent of the session.

Description (120 characters maximum)*

What type of T3 presenter are you?

Session Type*

Grade Level

Session Topic Area(s)
(check all that apply)

Elementary Math
Middle Grades Math
Algebra 1
Calculus
Geometry
Biology
Physics
Engineering
Elementary Science
Middle Grades Science
Algebra 2
Pre-Calculus
Statistics
General Math
Chemistry
General Science
Other

Session Technology Focus
(check all that apply)

TI-83 Plus
TI-83/84 Plus Silver Edition
TI-89
TI-92 Plus
TI-92 Plus/Cabri
TI-92 Plus/Sketchpad
VoyageTM 200
CBL 2TM
CBRTM
TI-Interactive!™
TI-Navigator™
Apps (include what you will use in Apps Reqts Section below)
None
Other

Computer Lab Session
NOTE: Select this option only if your session is hands-on and requires attendees to access a computer. PCs will only be supplied for sessions requiring a computer lab.

Session Participant Level
(check all that apply)

Beginner
Intermediate
Advanced

Would you be able to present at any time during the conference?

If the above answer is no, then indicate the days you are unable to present.

Friday
Saturday

Would you be willing to present a second time during the conference?

Equipment needed to give your session

Equipment Requirements

TI Technology Requirements

Device	Student Unit	View Screen Unit	Overhead Panel
TI-83 Plus
TI-83/84 Plus Silver Edition
TI-89
TI-92 Plus
TI-92 Plus/Cabri
TI-92 Plus/Sketchpad
Voyage 200™
CBL 2™
CBR™
TI-Interactive!™
TI-Navigator™
Apps (include what you will use in Apps Reqts Section below)
Other
None

Science Session Materials Requirements

We have limited access to special items/materials that you may require for your science sessions. Please bring with you any additional materials needed for your session. List below any items you will need for your session, but are unable to carry with you to Worcester.

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Last modified: May 09, 2005, 10:31 EDT