PROPOSAL FORM FOR TEACHERS HELPING TEACHERS CONFERENCES

DIRECTIONS: Please highlight this form and copy it. Fill it out and then paste it into the body of an e-mail sent to the following email addresses. Email to Dr. Patrick Dougherty: pdougherty@shse.u-hyogo.ac.jp (and) ct180@hotmail.com.

Note:  Teachers Helping Teachers requests that all presenters prepare three presentations.  Please use the form below and use a new form for each of your three presentation proposals.

THIS PROPOSAL IS FOR THE THT CONFERENCE IN

(  ) THE PHILIPPINES:  {  } PART 1/MANILA  {  } PART 2/MINDORO

(  ) LAOS:  {  } MINICOURSE  {  } CONFERENCE

(  ) VIETNAM

(  ) BANGLADESH

1. Presenter Name (s):

Title:            First Name:                           Family Name:

2. Affiliation: 

3. Mailing Address:

4. Telephone: 

5. Fax: 

6. Email address: 

7. Title of Presentation: 

8. Type of Presentation: 

(  ) Workshop (  ) Demonstration (  ) Lecture

9. Content Area:

(  ) Speaking (  ) Grammar (  ) Testing

(  ) Materials Development (  ) Reading (  ) Computer Assisted Instruction

(  ) Young learners (  ) Methodology (  ) Writing

(  ) Vocabulary (  ) Culture

10. Biographical Statement: (50 words maximum per presenter):

11. Abstract: (The length of the abstract should be between 100 - 150 words) 

12. Equipment that will be needed:

(  ) Whiteboard (  ) Video player (  ) Cassette player

(  ) Power point (  ) Overhead projector (  ) Computer

(  ) LCD 

If you have any comments/questions, please write them below: