Name: _David Lauderback, Ph.D.___________________

School/College/University: _Austin Community College__________________

Department: _History___________________________________

Mailing Address: _1212 Rio Grande Street____________________ _

_Austin, Texas 78701________________________

____________________________________

Phone: 512.223.3397_ Fax: 512.223.3777__ E-Mail: _dlauderb@austincc.edu

Will you need lodging? Yes ___ No X Please check one: Female _ Male X__

Have you attended a UT workshop previously? Yes X No ___ Vegetarian Yes No _X_

Do you have any special physical requirements? Yes _____ No __X__

If yes, please specify:

What is/are your area(s) of specialization or special interest?

World History

Of the courses you teach, currently or planned for the future,

A) Which classes would you be likely to integrate information about South Asia?

HIST 2321 & HIST 2322 World Civilization I & II

B) How do you envision using the information and materials from this workshop?

To enhance instruction on Islam units for World Civil. I & II

Are there any topics or issues that you would especially like to have addressed at this workshop?

To apply for this workshop, please return this form by mail to: University of Texas at Austin, South Asia Institute, 1 University Station G9300, Austin, TX 78712-1194 or by Fax to 512-471-3336

Name: _David Lauderback, Ph.D.___________________

School/College/University: _Austin Community College__________________

Phone: __512.223.3397_________ Fax: __512.223.3777______ E-Mail: _dlauderb@austincc.edu

Will you need lodging? Yes _____ No __X__ Please check one: Female _____ Male __X__

Have you attended a UT workshop previously? Yes __X__ No _____ Vegetarian Yes __ No _X_

Phone: 512.223.3397_ Fax: 512.223.3777__ E-Mail: _dlauderb@austincc.edu

Will you need lodging? Yes ___ No X Please check one: Female _ Male X__

Have you attended a UT workshop previously? Yes X No ___ Vegetarian Yes No _X_