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What's Your Frame? Conference Breakout Session Submission
Please complete the following information so that we can create an an amazing conference program that offers both depth and breadth. PLEASE NOTE: We are looking for each breakout session to end with one or two things a attendee can implement ASAP. We know that isn't always possible, but it's really our goal!
Extended- October 16, 2017
Decisions to be announced October 27, 2017
Lead Presenter's Name *
Your answer
Lead Presenter's Email address *
Your answer
Lead Presenter's Cell Number *
Your answer
Breakout/Preconference/Keynote Title *
This will be included in the conference program (Please keep it short and sweet)
Your answer
Breakout/Preconference/Keynote Session Description *
This will be included in the program. Please try to keep it short-ish. If it's too long, it may be shortened for printing but the full description will be posted in the online program.
Your answer
Special Population Sub-group Served *
Required
School System Served *
Required
To what audience does/do your materials relate most? *
Required
To what category or pathway does your topic relate: *
I (we) Have/have not presented this information at other conferences. *
My (our) proposal is about a product or service. *
We are absolutely not opposed to products and or services - in fact we support them. However, the session must include some content that can be used as soon as the attendee gets back to their campus and this must be clear in the description.
I (we ) have student outcome data that supports the use of this intervention, service, technique, or product. *
How does this activity, service, or intervention support students from Special Populations? *
Please provide a narrative so assist the committee in making selections.
Your answer
I (we) would like a 60 minute, or 75 minute or preconference 3 hour workshop. (the schedule is not complete yet.) *
I (we) can present on: *
I am (we are) proposing a: *
I (we) will use the following tools for my presentation *
Required
Attendees will leave with: *
Required
Lead Presenter Plans to attend *
Additional Presenter #1
Please list your additional presenters and their email addresses. HOWEVER, to keep things easy, we will only communicate with the lead presenter regarding the breakout session. If your co-presenters change as time goes on, that is okay. We can accept changes up until we go to print in early-November. The additional presenters will be listed in the web based program but MAY NOT be included in the printed version.
Your answer
Additional Presenter #2
Please list your additional presenters and their email addresses. HOWEVER, to keep things easy, we will only communicate with the lead presenter regarding the breakout session. If your co-presenters change as time goes on, that is okay. We can accept changes up until we go to print in early-November. The additional presenters will be listed in the web based program but MAY NOT be included in the printed version.
Your answer
Additional Presenter #3
Please list your additional presenters and their email addresses. HOWEVER, to keep things easy, we will only communicate with the lead presenter regarding the breakout session. If your co-presenters change as time goes on, that is okay. We can accept changes up until we go to print in early-November. The additional presenters will be listed in the web based program but MAY NOT be included in the printed version.
Your answer
Additional Presenter #4+
Please list your additional presenters and their email addresses. HOWEVER, to keep things easy, we will only communicate with the lead presenter regarding the breakout session. If your co-presenters change as time goes on, that is okay. We can accept changes up until we go to print in early-November. The additional presenters will be listed in the web based program but MAY NOT be included in the printed version.
Your answer
Please read and agree to the following statements: *
Required
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