| TITLE OF PRESENTATION: |
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| TYPE OF SESSION (select one): |
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| NAME OF PRESENTER: (FULL NAME) |
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| E-mail: |
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| Home Tel: |
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Office Tel: |
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| Mailing address: |
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| NAME OF INSTITUTION: |
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| City: |
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Country: |
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| AUDIOVISUAL EQUIPMENT: (Check only if sure of using it; Avs not mentioned will not be available): |
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No audiovisual equipment |
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Audio visual cassette player |
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Blackboard/Whiteboard |
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Flip chart |
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VHS player (NTSC) + TV set |
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Data show |
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Requests for equipment made after the deadline indicated on this form will be honored were possible but with a charge.
Please check your AV requests carefully. Charges will be made for any changes made after submission. |
| CONTENT AREA: (check no more than three). |
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Integrated Skills |
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Applied Linguistics |
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Socio-linguistics /culture |
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ESP |
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Curriculum Design |
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Program administration |
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EFL |
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Teacher Education |
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Psycholinguistics |
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Testing |
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Material Writers |
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Workplace/business English |
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Video |
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Personal Development |
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Methodology |
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Vocabulary |
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Content-Based Instruction |
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Classroom Research |
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Grammar |
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Intensive English Programs |
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Speech/Pronunciation |
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Speaking |
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Writing |
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Reading |
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Listening |
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| Other (specify) |
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| BIOGRAPHICAL STATEMENT to be included in the program (30 words maximum). |
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| Abstract |
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| RESTRICTIONS ON TIMING (if any). |
Presentation will be scheduled for the first, second, or third day of the convention.
It is advised that you arrive in Chiclayo, Lambayeque, PERU on July 30th.
the latest. If you are planning to arrive late or
leave early, please advise us. If approved, we will need your flight information, date and time of arrival. |
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| HANDOUTS: |
Note that presenters are requested to bring their own photocopies; the audience size will be reported to you
Five days before the convention. Unfortunately a photocopier will not be available at convention site. Please leave two
Copies of your handouts in the Coordination Room for participant services, and PERU TESOL Files. |
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| LODGING: |
If you wish to be provided with lodging by Peru TESOL, you must have at least two proposals accepted as an
Individual. Lodging for you will be available from July 30th
to August 2nd
. 2012 (4 nights) |
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| Do you want to apply for this sponsorship? |
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If your answer is NO, will you need our assistance for hotel reservations? |
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| PHOTOGRAPH: |
Send your photo to info@perutesol.org
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