Tenth Joint National Conference on Alternatives to Expulsion, Suspension, and Dropping Out of School

1.) Type of Presentation: (Each session is scheduled for 60 minutes.)

                Panel Presentation                 Workshop                     Paper

2.) Title of Presentation:



3.) Principal Presenter/Organizer: (All correspondence will be addressed to this individual.)

Name Degree Title

Organization Phone

Address Fax

City/State/Zip E-mail

Above address is your Organization Home         Are you a full-time student? Yes No

4.) Co-Presenters:

Name Degree Title

Organization Phone

Address Fax

City/State/Zip E-mail

Above address is your Organization Home         Are you a full-time student? Yes No

Name Degree Title

Organization Phone

Address Fax

City/State/Zip E-mail

Above address is your Organization Home         Are you a full-time student? Yes No

5.) Abstract: Please provide a short abstract (75-word maximum) for the program that describes what attendees are likely to learn.

6.) Will you be presenting the sale of a service or product? Yes No

7.) As a presenter you will be expected to have a minimum of 150 handouts available that briefly describes your presentation and includes your contact information. Handouts left over from your presentation should be placed on the" take-one-free" table in the exhibit hall for those who could not attend your presentation.

8.) Is audio-visual equipment required? Yes No

If you answered yes, please specify your audio-visual equipment requirements:

    Overhead Projector and Screen ($36.00 rental fee)         Flip Chart and Marker ($10.00 rental fee)

    VCR and TV ($100.00 rental fee)                                           Screen only ($15.00 rental fee)

You may bring your own equipment.

If you answered no or did not answer, and later require or need to change or add additional AV equipment, you will have to make your own arrangements with the hotel at a much higher rental fee.
Rental fees from the hotels AV Department currently start at $40.00 for a Flip Chart and Marker; $45.00 for a Screen; $120.00 for an Overhead Projector and Screen; $235.00 for a VCR and TV, plus tax and set-up charges, and all prices are subject to change. It is therefore best to plan now for what you need. We are unable to provide power point.

9.) On acceptance, all presenters are REQUIRED TO REGISTER for the conference. Presenters registration fee is $170.00 and full-time student presenters register for $95.00. Regular registration for non-presenters will range from $325.00 (early registration) to $390.00 (late registration). Registration materials will be sent to presenters on acceptance of the program and must be returned with registration payment or purchase order within 21 days of receipt.

10.) I hereby certify that if this paper is accepted, I/we will deliver it or arrange for its delivery should I/we be unable to attend and that I/we will submit my presenters registration and fee as soon as notified as to acceptance.

Signature Date

11.) Submit this form with a 500-word description of your presentation and a self-addressed stamped envelope to:

Program Committee
Alternatives to Expulsion Conference
P.O. Box 076
Manchester, Lancashire


SUBMISSION  DEADLINE:  MAY 15, 2003