JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Read. Write. Act. Virtual Conference 2015 - Presentation Proposal
Final deadline is July 15, 2015 5:00 PM Eastern Time.
Please complete the form below to submit your presentation proposal.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Presenter Name
*
Include first and last names
Your answer
Position Title
*
Example: Program Director, Student, Tutor, etc.
Your answer
Organization/Campus Name
*
Please provide the name of the organization/campus you are affiliated with
Your answer
Organization/Campus Address
*
Street Address, City, State, Zip Code
Your answer
Presenter E-mail Address
Please be sure that your e-mail address is typed correctly
Your answer
Presenter Telephone Number
We will use this number to contact you in case of issues during web conferencing - please make sure to include a number by which you will be accessible.
Your answer
Contact Information for Additional Presenters
Include name(s), e-mail, and phone number
Your answer
Presenter(s) Biography
*
Please limit to 150 words per presenter
Your answer
Organization Twitter Name
Example: @readwriteact
Your answer
Organization Facebook Name
example: Scale Unc
Your answer
Name of the Presentation
*
Your answer
Summary of your presentation:
*
Your answer
What are the intended outcomes of your presentation?
*
What would you like for the audience to take away?
Your answer
How does this presentation relate to the theme, "Marching Towards Tomorrow: Race, Class, Privilege and Power in Education" ?
*
Relate presentation topic to overall conference theme
Your answer
What conference topic area does your presentation relate to?
*
Select the best answer below
Develop participants’ skills in addressing and navigating difficult conversations and experiences surrounding issues of race, class, power and privilege in literacy or community service settings
Provide models of civic/community engagement projects or programs.
Provide specific teaching techniques based on best practices for student-led and community-based literacy groups and organizations
Describe systemic issues that lead to barriers in access and what can be done to effect change
Other:
List three keywords that describe your presentation
*
Examples: health literacy, computer literacy, K-12 tutoring, adult ed, social justice, civic engagement, race, gender, access, poverty
Your answer
Please check the following if it is true:
*
I have access to a wired internet connection.
I have access to a headset for my computer.
I have participated in an online class or webinar.
I have presented at a webinar.
I feel comfortable with new technology.
Required
How will you make your presentation interactive?
*
Please provide a brief list of ideas to make your presentation interactive, such as having participants ask questions, chat, or respond to a poll during your presentation.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report