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