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Call for Abstracts Application  

Deadline: Extended to March 26, 2004

Name(s) of Presenters: __________________________________________________________

_____________________________________________________________________________

Organization(s):_________________________________________________________________

_____________________________________________________________________________

Address:_______________________________________________________________________

______________________________________________________________________________

Phone: _________________________________Fax:____________________________________

Email:__________________________________________________________________________

Is your proposal aimed at an identified track and session? ___   Yes  ____ No

If yes, please indicate below the track(s) and session(s) that your proposal falls under:

Number (e.g. A.1.): _______________________________________________________________

Track: _________________________________________________________________________

Session Title:___________________________________________________________________

Please include a description/abstract (no more than 400 words) that includes title, topic to be covered, and detailed description of format or outline of your presentation plan.

Mail, email or fax your application to:

Crossroads Conference Call for Proposals

Institute for Community Research

2 Hartford Square West, Suite 100

Hartford, CT  06106

Ph: 860-278-2044

Fax: 860-278-2141

Email: crossroads@icrweb.org

Note: If you are sending your application via email, please state "Crossroads Presentation Proposal" in the subject line.

Call 860-278-2044 ext. 303 or email crossroads@icrweb.org if you have any questions.

Application deadline: Extended to March 26, 2004