PROGRAM REGISTRATION FORM

501 N. Highland | Phone. 520.695.2262

NACURH 2009 - National Association of College and University Residence Halls

All program submissions must be electronically submitted no later than Friday April 10, 2009 (this is the extended deadline). Program Presenters will be notified via email no later than May 1st of their acceptance.

Presenter Information

Name of Primary Presenter: *

College/University: *

Email: *

Phone: *

Name of Secondary Presenter:

College/University:

Email:

Phone:

Name of Additional Presenter:

College/University:

Email:

Phone:

Program Title: *

Program Abstract: *

Please submit a 30-50 word abstract that tells delegates what to expect if they attend your program. If your program is selected, this abstract will be published in the conference materials.

Program Outline: *

Please also submit a detailed outline of your programming. The following must be included: program goals, explanation of your program and the program's importance and relevance to conference attendees.

Program Track (please select one): *

Book (If your presentation is based on a book)

If so the University Bookstore may be able to have some in stock during the conference.

Based on a Book?:

Yes

Author :

Title:

Type of Room Set-Up (Please rank the following 1-4, with 1 being most preferred and 4 being least preferred)

Stadium: *

Tables: *

Moveable for Open Area: *

Desks: *