Complete this form to submit a Call for Programs
1. Presenter Information
Co-presenter(s) Names
Co-presenter(s) Names
Co-presenter(s) Names
Co-presenter(s) Names
2. Workshop Themes
Personal Leadership Development
New Idea / New Program
Issues in Leadership
Leadership Transformation
3. Conference Participation
4. Type of Presentation
5. Display Presentation
Attention! If you are unable to present a workshop or would like to supplement your workshop, you can participate! Check here if you are interested in setting up a tri-fold display at an ongoing, unstaffed fair at the conference to advertise your workshop, organization, or cause.
6. Audience Preferences
Target Audience
Student Leader
Advisor/Student Affairs Professional
Student Leader and Advisor
Audience Size
We know that some workshops are geared to a larger audience and others require a smaller group. To facilitate room assignments, please indicate your intended audience size
7. Audio Visual Equipment (for Workshops Only)
Please indicate your AV equipment needs below (to be confirmed upon program selection):
*All rooms will have a flip chart and markers.
*We cannot guarantee that you will receive the equipment that you ask for.
*We have a limited number of VPU's available, so we ask you to bring your own if possible.
*We cannot provide computers of any type, so please bring your own laptop if necessary.
*Presenters are responsible for all copies of participant handouts if needed within their workshop.
8. Additional REQUIRED Application Materials:
Please provide a 50-word abstract of your workshop to be used in conference materials:
Intended Goals of your workshop:
9. Books
In collaboration with the UA Bookstore, we will host a "leadership bookstore" at the conference.
Please suggest your favorite books on leadership or books you have written or will use in your workshop.
Please enter the title, author, & publication date for each book.
Please complete and submit both the Call for Programs form and the Photo Release form by November 1, 2007
Photo Release Form
In addition to the Call for Programs Application, all participants are asked to agree to the following:
I hereby give the National Collegiate Leadership Conference the absolute right and permission to copyright, publish or use photographs of me in which I may be included in whole or in part or composite or distorted in character or form, in conjunction with my own or fictitious name, or reproductions thereof in color or otherwise, made through any media that NCLC chooses or hires someone to create and/or reproduce, for art, advertising, use on NCLC website, in publications, trade or any other lawful purpose whatsoever.
I hereby waive my right to inspect, and/or approve the finished product of the advertising copy that may be used in connection therewith, or the use to which it may be applied.
I am 18 years of age or older and I am competent to contract in my own name.
I have read this release before submitting below and I fully understand the contents, meaning and impact of this release.
By submitting this application I understand that I have agreed to the above statements.
Printed Name:
Date (Month/Day/Year):
I agree to the above mentioned conditions
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