PROFESSIONAL ACTIVITIES Name: Campus extension #: Department/Division/Office: Professional Activities: papers, addresses, performances, active participation in conference, etc. Co-presenter(s), first initial and last name only. If co-presenter is a Cal State L.A. faculty, staff or student, boldface name and, within parentheses, note category and department or office in italics. Students' status (freshman, graduate student, etc.) and major are also helpful [e.g. Y. Smith (staff, Biology and Microbiology), or Z. Smith (graduate student, Communication Studies, Broadcasting)].</p><p> Type of activity: <input type="TEXT" data-cke-saved-name="act_type" name="act_type" size="42"/></p><p> Title of activity: <br/> (Title of presentation in quotation marks; title of session or meeting, if applicable, in italics) <input type="TEXT" data-cke-saved-name="act_title" name="act_title" size="42"/></p><p> Organization/group sponsoring presentation: <input type="TEXT" data-cke-saved-name="sponsor" name="sponsor" size="42"/></p><p> Date of your presentation (month, day, year): <input type="TEXT" data-cke-saved-name="presdate" name="presdate" size="42"/></p><p> Location (city, state or country): <input type="TEXT" data-cke-saved-name="location" name="location" size="42"/></p><p> <input type="submit" value="Submit"/><input type="reset" value="Clear form"/></p></form> </a></p>
