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Demo Proposal Submission Form - 2020
Please submit a form for EACH presenter with their respective EventBrite order number.
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Bergen Community College STEM C^2 Research Summit
Please enter your EventBrite Order Number below:
*
You need to have registered in EventBrite in order to submit a proposal. Register at
http://www.bergen.edu/stemsummit
Your answer
--- Presenter Information ---
Full Name (First, Middle, and Last)
*
Your answer
Email address
*
Your answer
Name of the Institution
*
Your answer
Phone Number
*
Please specify the best number where the presenter can be reached:
Your answer
Academic Title
*
Please indicate the Primary Position of the Presenter
Dean
Department Chair
Full Time Faculty
Part Time Faculty
General Education Administrator
Diversity Officer / Staff
Student Affair Officer / Staff
Foundation Officer / Staff
Public Information Officer
Education Policy Leader
Teaching / Learning / Technology
Student
Other:
Required
Brief Biography of the Presenter
*
100 words Max.
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Additional Information (Optional)
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--- Presentation Information ---
Title of the Project
*
Your answer
Description of the Project for the Conference program and schedule
*
50 words Max.
Your answer
Please check off the discipline that most closely matches your project
*
Aviation Technology
Biology
Biomedical Research
Chemistry
Computer Science
Engineering
Environmental Science
Horticulture / Plant Science
Industrial Design Technology
Information Technology
Mathematics
Physical Sciences
Robotics
Sustainable "Green" Technologies
Inquiry-Based Teaching methods
Use of Technology in the STEM classroom
Examples of collaborative faculty-student projects outside the classroom
Use of Supplemental Instruction in the STEM classroom
Collaboration between two year colleges and high schools
Collaboration between two year colleges and four year colleges
Other:
Required
Abstract elaborating on the Topic, Content, and Format of the Presentation
*
250 words Max.
Your answer
Please indicate the contact Person for this Presentation
*
Presenter
Other:
Required
If "Other" from previous question, please specify email address and phone number of the contact person:
Your answer
Please specify your technical needs
*
Power Outlet, Internet Access, etc
Laptop
LCD Projector
Wired Internet access during Presentation
Wireless Internet access during Presentation
Video/DVD Player
TV Display
None
Other:
Required
Do you have any Indoor space requirement?
If yes, please specify the dimension in: ## feet by ## feet format. Example 12 ft. by 12 ft.
Your answer
Do you have any Outdoor space requirement?
If yes, please specify the dimension in: ## feet by ## feet format. Example 12 ft. by 12 ft.
Your answer
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