AMERICAN UNIVERSITY OF BEIRUT CENTER FOR TEACHING AND LEARNING and ACADEMIC COMPUTING CENTER FIRST INTERNATIONAL CONFERENCE ON EFFECTIVE TEACHING AND LEARNING IN HIGHER EDUCATION DECEMBER 10 AND 11, 2010 Conference Registration Form (Kindly send this form by email and mail a hard copy with the payment) To fill the checkboxes, double click on them and select ‘checked’. PERSONAL DETAILS Ms. Mr. Dr. First Name: Middle Name: Last Name: Institution: Department: Position: Faculty Staff Graduate Student Other. Please Specify: Address: City: Postcode: Country: Email: Tel: ( ) Fax: ( ) ABSTRACT SUBMISSION I am submitting a proposal for the Conference: YES NO Abstract Title: Indicate your presentation type: Stand-alone Paper Interactive Poster Abstracts must be submitted via email following the guidelines provided at http://www.aub.edu.lb/CONFERENCES/ETLHE/CALLFORPAPERS/Pages/index.aspx ACCOMMODATION For accommodation information, please refer to the website at: http://www.aub.edu.lb/CONFERENCES/ETLHE/TRAVELINFO/Pages/Index.aspx REGISTRATION AND PAYMENT DETAILS If you plan on attending pre-conference workshops please indicate which ones in the PRE-CONFERENCE WORKSHOPS section. EARLY BIRD & GRADUATE STUDENTS REGISTRATION FEES- Deadline is October 30, 2010 Please tick the appropriate box Conference fee* $150 (One Hundred and Fifty USD) AUB Faculty Members fee $ 30 (Thirty USD) Graduate Students fee $100 (One Hundred USD) Pre-conference workshop fee $50 (Fifty USD) / Workshop Total: *Conference fee includes: Conference day (December 11, 2010) coffee breaks, lunch, and dinner REGULAR CONFERENCE REGISTRATION FEES- Deadline is November 30, 2010 Please tick the appropriate box Conference fee* $170 (One Hundred and Seventy USD) AUB Faculty Members fee $ 30 (Thirty USD) Pre-conference workshop fee $70 (Seventy USD) / Workshop Total: *Conference fee includes: Conference day (December 11, 2010) coffee breaks, lunch, and dinner GROUPS OF 5 OR MORE REGISTRATION FEES - Deadline is November 30, 2010 Please tick the appropriate box Conference fee* $80 (Eighty USD) / person Pre-conference workshop fee $70 (Seventy USD) / Workshop / person Total: *Conference fee includes: Conference day (December 11, 2010) coffee breaks, lunch, and dinner Click here for Conference Schedule PRE-CONFERENCE WORKSHOPS December 10, 2010: 3:00- 5:00 pm workshops (Workshops are conducted simultaneously) Inquiry-based Learning Designing Effective Online Student Assessment December, 10, 2010: 5:00- 7:00 pm workshops (Workshops are conducted simultaneously) Program Learning Outcomes: The why and how Educational Open resources and Free digital Material PAYMENT DETAILS: Payment Method: Cashier Checks in US dollars payable to The American University of Beirut. Please send a hard copy of this registration form with the payment of registration fees by registered mail to: Center for Teaching and Learning Conference on Effective Teaching and Learning in Higher Education American University of Beirut P. O. Box: 11-0236 Riad Solh, Beirut Lebanon For further information: Email: ctl@aub.edu.lb Tel: 00961 1 362811 Participant’s Signature: Date: