2017 South by Southwest Summer Conference
Call for Presentations Application
Head Start Exploring the Horizon: A Closer Look at the New Head Start Performance Standards
Prefix
Personal Title
Are you a member of the Texas Training Registry?
If yes? Please indicate #
Your answer
Name of lead presenter and additional presenters
Your answer
Title(s)
Your answer
Grantee/Organization
Your answer
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone#
Your answer
Fax#
Your answer
E-Mail
Your answer
1. TRACK:
Required
Target Audience: Check all that apply
Required
2. Session Title:
Your answer
3. Session Times:
Presentation length
Required
4. Are you willing to present twice?
Can you present this in Spanish?
5. Audio Visual Request:
(Limited Amount) Advance notice required:
6. Learning Objectives:
Your answer
Objective 1.
Your answer
Objective 2.
Your answer
Objective 3.
Your answer
7. Session Outline/Agenda:
Your answer
Agenda 1.
Your answer
Agenda 2.
Your answer
Agenda 3.
Your answer
Agenda 4.
Your answer
8. Session Description
50 words or less-to be used in the conference program
Your answer
9. Brief Biography of yourself
50 words or less to be used for your introduction at the session
Your answer
10. Brief Evaluation of Participants’ Gain of Knowledge
i.e. T/F or Multiple Choice Quiz
Your answer
Quiz 1.
Your answer
Quiz 2.
Your answer
Quiz 3.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms