PROPOSAL SUBMISSION FORM Program Title*Coordinating Presenter’s InformationFirst Name*Last Name*Title*Institution/Organization*Address 1*Address 2City*State*AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYZip*Daytime Phone*Email Address*Program InformationProgram Type* Lecture/Paper Presentation Panel/Symposia/Round Table Workshop General SessionTarget Audience* Undergraduate Students Faculty Graduate Students Health/Wellness Religious Affairs Student Activities Student Leadership Research & Publications Career Center Facilities Management & Development Chief Student Affairs Administrators Residence Life/Housing Counseling Judicial Affairs Professional Career Development Student Development Fiscal Affairs Academic Affairs Academic Advisement Admission Financial Aid Enrollment Management Athletics Student Union/Center New Professionals Greek Affairs Out Sourcing Graduate Programs in Student Affairs Other Areas(Select all that apply)If other, please explain*Audio-Visual Needs* I/We will provide handouts for participants in our presentation I/We will need an LCD projector. Computers, MAC ADAPTERS, and handouts are the responsibility of the presenter I will need Wi-Fi for my presentation(Select all that apply)Additional PresentersFull NameCurrent PositionInstitution/Organization AffiliationFull NameCurrent PositionInstitution/Organization AffiliationFull NameCurrent PositionInstitution/Organization AffiliationProgram DescriptionProgram Abstract*(Maximum of 60 words)Please identify the 4 primary learning outcomes/objectives of your program*Please briefly describe how your program relates to the conference theme*(maximum of 60 words)Please indicate how audience members will be involved in your program*(maximum of 60 words)Briefly describe/outline the program*(maximum of 400 words)Which track does your proposal address?* Student Affairs Community Track Higher Education TrackSelect an option from the selected track belowStudent Affairs Community Track Student Success (Academic & Student Affairs, Enrollment, Assessment, Retention, etc.) Housing | Residential Life Career Services | Development | Guided Pathways Counseling and Mental HealthHigher Education Track Assessment Legal Issues Policies Campus Safety Athletic Diversity & Inclusion Greek Life Title IX Leadership in Student AffairsAs the coordinating presenter for this proposal, I acknowledge that submission of this program proposal to the conference Chair signifies my understanding that I must register and attend the 68th Annual NASAP National Conference in New Orleans, LA, and coordinate/present this program if selected. I also affirm that I have communicated with all of the participant included in this proposal, and they have agreed to register for the conference and present this program with me.* I agree to the above terms.Signature*Date*reCAPTCHAIf you are human, leave this field blank.
