About you

Name	First   Last
Title
Department
Organization	Appalachian State University East Carolina University Elizabeth City State University Fayetteville State University North Carolina A&T State University North Carolina Central University North Carolina School of the Arts North Carolina State University UNC Asheville UNC Chapel Hill UNC Charlotte UNC Greensboro UNC Pembroke UNC Wilmington Western Carolina University Winston Salem State University UNC GA / Office of the President Other
Specify other organization
Primary role	Faculty member Staff member / Administrator
E-mail
Phone	-
	Area

Reasons / purpose for attending the conference (up to 50 words)

Your responses to the next two questions will facilitate meal and hotel room planning

I would plan to attend on

Thursday, April 11 (10 A.M. - 5 P.M., reception follows) Friday, April 12 (9 A.M. - 5 P.M., reception follows) Saturday, April 13 (9 A.M. - 12 P.M. for workshops and seminars)

What workshop / seminar topics are you interested in?

I would expect to need a hotel room on

Wednesday evening (if you are from one of the most distant campuses -- ECU, ECSU,UNCA, UNCW, or WCU -- the TLT Collaborative will pay for your room) Thursday evening (if you live outside the Greensboro / Winston-Salem area, the TLT Collaborative will pay for your room) Friday evening (if you live outside the Greensboro / Winston-Salem area, the TLT Collaborative will pay for your room)