CMI Conference Registration Form

	2nd Annual Benedictine Pedagogy Symposium Benedictine University, Lisle, Illinois Online Conference Registration for Benedictine University Faculty, Administrators, Staff and Students Please fill in as much information as is applicable, using the TAB to advance to fields, and be sure to click "SUBMIT" at the bottom of this form. Please see the conference description for topics. You may use this registration to submit a panel or paper proposal.

First Name: *required		Middle Name:

Last Name: *required

Name on Name Tag: *required

Title:

Department:

School / College within Institution:


E-mail: *required

Work Phone (W/Area Code):

Home Phone (W/Area Code:

Are you willing to be a chair for a panel other than your own?

CONFERENCE PAPER PROPOSAL - If submitting a conference Paper Proposal, please fill in the information below. Additionally, if you are proposing a panel, please also fill in the CONFERENCE PANEL PROPOSAL information.

Title of Paper Proposal:

Four sentence description or abstract of paper:

CONFERENCE PANEL PROPOSAL - If submitting a Conference Panel Proposal, please fill in the information below.

Title of Panel:

Six sentence description or abstract of panel:



2nd Annual Benedictine Pedagogy Symposium Benedictine University Alicia Cordoba Tait, DMA Conference Coordinator Director, Center for Mission and Identity (CMI) 5700 College Road Lisle, IL 60532 Questions? Please contact Dr. Alicia Tait (630) 829-6324