1) Your name: 
2) Your title:
3) Your office address: 
4) Your campus location:
5) Your campus phone: 
6) Your e-mail address: 

7) Who would be conducting this presentation?
Myself (or myself and others)
I am recommending the following person (or group):

If you are nominating someone, please answer the next 4 questions.  Otherwise, please skip to question 12.

8) Nominee's name: 
9) Nominee's address:
10) Nominee's phone:
11) Nominee's e-mail address: 

12) Suggested topic name or topic concept for this presentation.

13) Please provide a brief description of topic or topic concept.  Include a URL to relevant information if available. (Please limit to approximately 100 words)

14)  What level would this presentation be?
Introductory - assumes no prior knowledge of topic
Intermediate - assumes basic knowledge of topic and some experience
Advanced - assumes a solid grasp of topic and extensive experience

15) What prerequisite knowledge or skills would the audience need to have to take full advantage of this presentation?
(Examples: "experience with Web browsers is recommended", "knowledge of anti-virus software would be helpful but not necessary", or "no experience or prior knowledge is necessary")

16) Please describe the skills or knowledge that the audience will gain after attending this presentation.
(Examples: "attendees will gain a better understanding customer service skills", "attendees will learn the advanced features of Symantec " or "attendees will learn how to find and use tools to deal with difficult customers")

17)  Please briefly tell us why this topic would be important / relevant / interesting to conference attendees (optional).