MLANET Educational Clearinghouse Listing Form

General Instructions
Follow the italicized directions to prepare your proposal as a separate word processing document using 12-point typeface. Use outside margins of at least 1". Complete a separate form for each listing and type the course title and page number in the top right corner of each page. Identify the numbered sections of the listing, and double-space between sections.

If this listing is new please complete all numbered sections. If this is an update to a current listing, please complete only the sections that need changes.

1. Title: List exact activity title as submitted for MLA approval.

2. MLA CE contact hours: List hours awarded by MLA for this CE activity.

3. Primary contact:
Other instructor(s):

Give name, MLA ID#, MLA chapter/regional location, institutional affiliation, mailing address, phone, fax, and email address for each instructor. Indicate which instructor will be the contact for MLA.

4. Course/CE activity description:

Provide a brief summary of the major concepts and goals of this class or CE activity, linking to stated educational objectives; maximum 150 words. Include the overall goal, behavioral objectives or outcomes anticipated, specific content, and methods of the proposed CE activity. For courses accepted for MLA's national annual meeting, this summary will be used in the preliminary program.

5. Target audience:    Prerequisites:    Level of instruction: