AMTRA Speaker Proposal Form-Spring 2017
Due to the new CTLE requirements, this form has additional components.
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Name *
Please enter your full first and last name.
Teaching Level *
Please check all that apply.
Required
Email Address *
Please comfirm your email address *
School Name *
School Address *
Home Address
Home Phone
Please enter area code first.
Please write a brief personal biography to be used in the conference program. *
Academic Degrees *
List degrees, majors, and institutions in reverse chronological order (most recent first).
Professional Experience *
Provide a brief list of professional experience
Programs, workshops, conference presentations
Provide a brief list of professional work you have produced are that are in progress (if applicable)
Professional Affiliations *
List professional groups to which you belong and any offices you have held.
Presentation Information
All workshops on Saturday, March 4 will be one hour.
Title of Presentation *
Presentation Objectives & Learning Methods *
List presentation objectives and learning methods
Audience Level(s) *
Please check all that apply.
Required
Please provide a presentation description to be used in the conference program. *
Identify the connection(s) between your topic(s) and the Common Core State Standards for Mathematics. *
I am willing to repeat my session. *
Session Times
Please indicate any time(s) in which you are unable to present.
Equipment Needs
Each room has a Whiteboard, PC computer with Internet access, hook-up for a laptop, and an LCD projector.  Wireless Internet access will be available.
Equipment
Please check all that apply.
TI Calculator
Class sets will be provided in your room with a teacher unit and an overhead view screen panel.
Software Needs for Participants in Session
Please check all that apply,
Other
Please list any additional equipment needs you may have.
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