LfPL Symposium Interest Form
Thank you for your interest in the Leadership for Professional Learning Symposium. Please complete all fields below. You may submit more than one interest form.

The symposium is a working session in which participants are expected to host a dialogue; bring an artifact, document, or other material to contribute to that dialogue; and participate in other dialogues within up to two selected symposium strands.

Proposal submissions are being reviewed on a rolling basis; applicants will be notified of acceptance by 15 February 2019. If your submission is accepted, you will receive an invitation to register.

Contact bryn.humphrey@ufl.edu if you have any questions or concerns.

Name *
Your answer
Email *
Your answer
Twitter Handle
Your answer
Organization and Location *
Your answer
Role/Title *
Your answer
Professional Bio (100 words maximum) *
Your answer
Proposed Session Title (15 words maximum) *
Your answer
Abstract: Please describe the conversation you would like to host or dialogue you would like to stimulate (e.g., soliciting feedback, exploring a dilemma or challenge, unpacking successful achievement, analyzing a data set - 100 words maximum) *
Your answer
What will you be bringing with you to contribute to the dialogue at the Symposium? (e.g., artifact, document, instrument/tool, case study, conceptual approach/model, video exemplars of practices or programs - 25 words maximum) *
Your answer
Select the symposium strand you would like to participate in (choose top two) *
Please select your preferred shape. This response will be used to assist with groupings. *
Would you like to be considered for one of the few needs-based registration bursaries (scholarship)? *
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