c a l i f o r n i a s t a t e u n i v e r s i t y , s a c r a m e n t o
Workshop Presenter Form
*
Required Fields
Contact Information
*
Title
Select
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
*
First Name
*
Last Name
Affiliation (Name of school, group, or company)
*
Address line 1
Address line 2
*
City
*
State
*
Zip or Postal Code
*
Area Code / Phone Number
E-mail Address
Workshop Information
Preferred Time Slot
(50 Minutes)
No preference
9:30am-10:20am
10:30am-11:20am
1:00pm-1:50pm
2:00pm-2:50pm
3:00pm-3:50pm
Morning (9:30-12)
Afternoon (12-3:50)
All Day (9:30-3:50)
*
Language
Please Select
American Sign Language
Arabic
Chinese
ESL
Farsi
French
German
Greek
Hmong
Italian
Japanese
Korean
Latin
Native American
Portuguese
Russian
Spanish
Taiwanese
Vietnamese
other
Region
None Selected
Asia/East Asia/Southwest Asia/West Asia
Middle East
Australia/Oceania/Pacific Islands
Africa
Western Europe
Eastern Europe
North America
Central America
South America
Arctic/Antarctica
*
Presentation Topic
Please Select
Art Exhibit
Cafe/Tea Salon
Cooking
Costuming
Crafts
Daily Customs
Dance/Music/Singing
Display/Information Table
Language Lesson
Movies
Play/Theatre/Skit
Religion
Research
Sports/Physical exercise
Story Telling
Travel
other (please specify in Comments)
Preferred Location
No preference
Indoor
Outdoor
Small Stage
Preferred Audience Size
No preference
Seminar (10)
Classroom (30)
Auditorium (100)
Language Lab (30)
*
Proposed Workshop Title
*
Workshop Description
Equipment Needed
Cassette Player
CD Player
DVD Player (w/ TV)
VHS (w/ TV)
Microphone(s):
0
1
2
Transparency Projector
Slide Projector
Video Projector
Internet Connection (computer
NOT
included)
Table(s):
0
1
2
Comments
