ARA Literacy Conference Proposal Form
November 16-17, 2017 Little Rock, Arkansas

Thank you for submitting a proposal. Please use this opportunity to share your literacy practices and experiences with others.
- Presenters (one per session) will receive 1/2 price registration.
- AV setups are supplied, but you must provide your own projector and other equipment.
You will be contacted by email in August regarding the status of your proposal.
Questions? Call 501 908-4461 or email susan@arareading.org.

Name
Your answer
Last Name
Your answer
Title or Position
Your answer
Institutional or Business Affiliation
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Alternate Phone Number
Your answer
Email
This is how you will be contacted. Please notify us if there is a change.
Your answer
Type of Session
Are you willing to repeat this session?
Are you exhibiting at the conference?
If yes, please list company.
Note Exhibit fee includes exhibitors' conference registration cost.
Your answer
Is this a sponsored session? (Associated with a business or organization but not exhibiting.) If yes, please indicate the sponsor.
If indicating a sponsor, please list in the "Other" box.
Required
Title of Presentation
Your answer
Presentation Description
Describe your presentation in 40 words or less. (This may be edited to conform to program guidelines.)
Your answer
Indicate the Primary Focus Area to be addressed by your presentation.
Mark only one.
Grade Level
Check those that best correspond to your presentation.
Required
Intended Audience
Check all that apply
Required
Objectives of Presentation
Your answer
Content Presented
Your answer
What types of AV will be utilized? (For room scheduling purposes.)
Presenters are responsible for providing their own AV. ARA will supply screens and hook-ups only.
Required
Second Presenter--First Name
Note: Communication will be sent to the primary presenter.
Your answer
Second Presenter--Last Name
Note: Communication will be sent to the primary presenter
Your answer
Second Presenter--Emal address
Your answer
Please list any additional presenters.
First and last name, email address, title and institution:
Your answer
Additional notes, comments, or concerns
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Arkansas Reading Association. Report Abuse - Terms of Service - Additional Terms