* Full name (as it should appear in conference listings):

* Last name (for indexing):

Professional affiliation, if any:

* E-mail address:

Street address — line 1:

Street address — line 2 (if needed):

Street address — line 3 (if needed):

City:

State or region:

Postal code:

Country:

SHDS membership status:

 Member    Former member    Never a member

Note for the following four fields: If the title of your presentation, panel, roundtable, or workshop includes text that should be italicized (for example, the title of a ballet), please indicate the start and end of italicization with an underscore, thus: Deaths and Entrances in _Giselle_ . (Remember the closing underscore, even if it’s at the end of your title!)

Title of presentation:

 (see note, above)

Title of panel (if applicable):

 (see note, above)
If proposing a panel, please provide the names of all participants. Reminder: each panelist must propose separately.
Other panelists:

Title of roundtable (if applicable):

 (see note, above)

Title of workshop (if applicable):

 (see note, above)

* File to upload:

Format:

•  Individual paper for a panel: 20 min. per paper presentation, in panel with 3 papers and discussant
•  Panel: 60 min. for all presentations, 20 min. for response. 3 papers and discussant
•  Roundtable: 30 min. for all participant position statements, 30 min. directed discussion, 30 min. questions and wrap-up.
•  Workshop or Lecture-Demonstration: Presentation, workshop, and response time. Total: 90 min. Describe space needed, and any other special attire, equipment, or requirements for participants and/or spectators.
•  Other: Please use the “notes” area below to describe format and time frame. Max is 90 min. including setup, wrap up, and breakdown.

Format notes:

Equipment Requests:
 PC for presentation
 MAC for presentation
 Presentation on CD
Presentation on USB key
 VHS in PAL format
 VHS in NTSC format
 DVD in US fomat
 DVD in foreign format (specify)

Other Equipment Needs:

Selma Jeanne Cohen Award:
I am a graduate student and plan to apply for the Selma Jeanne Cohen Award.

Additional information or comments:

Before submitting the form, please doublecheck your e-mail address to make sure it’s correct.