You're invited to submit a
PROPOSAL FORM
for the Learning Forward Kansas
2012 Leadership Conference

A Learning School in Action
April 10 & 11, 2012

Conference Proposal Strands
Quality Professional Learning * Teacher Leadership
Measuring Impact * Impacting Student Achievement * 21st Century Skills


Title of Presentation: (As you wish it to appear in the program.)
 
Lead Presenter Name:
Position/Title   Affiliation
 
Work or Home Contact Information
Address   Work Phone (area code)
City/Zip /   Fax
E-Mail
 
Proposal Strand: (Check the one your presentation best addresses.)
Quality Professional Learning Measuring Impact
Implementing the Common Core Standards Teacher Leadership
21st Century Skills
 
Target Audience: (Check those that apply.)
District Administration   Teachers
College Instructors   Classified
Principals
 
Presentation Options: (Check one length and one type.)
Length Type
1 hour, 15 minute session Informational
2 hour, 45 minute session Interactive
 
Program Description: Your presentation description of no more than 40 words, as you wish it to appear in the program.
Include participant outcomes—what will participants know and be able to do as a result of participation in the session.
 
Audio-Visual Needs:
(Presenters must provide their own computers and projectors for Power Point and Internet presentations.) The hotel has wireless Internet capabilities.
Screen   Small AV cart for my equipment that I bring
 
Additional Presenters: List the following information:
Presenter,  Position/Title,   Affiliation,  Work or Home Contact Address,   Work Phone (area code),  and Email.
 
Verification: (Select the checkbox to indicate you've read and agree to these terms.)
On behalf of the presenter(s) listed in this proposal, I understand I (we) must register for the conference and be responsible for all conference registration fees and other expenditures. I understand that it will be my responsibility to notify each of my co-presenters regarding the status of the proposal, the date, time and location of the presentation should it be accepted.



Contact Information:
Melissa Green, USD 506, 401 S High School St., Altamont, KS 67337.
E-mail: mgreen@usd506.org



   
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