2017 STW Conference Presentation Proposal Form
*April 10, 2017 is the deadline for Presentation Proposals

*Please fill out the form below as completely as possible.

*The information you are inputting into this application will be what is listed in the the conference program booklet so please be accurate and thoughtful when typing in this information.

*Make sure that the Main Contact for Presenter's email is accurate. Conference information will be sent via email and the presenters listed here will be the ones listed in the conference program booklet.

*Presentations take place on Friday, June 23th from 8:30 AM to 4:00 PM and Saturday, June 24th from 8:30 AM to 10:45 AM. Please arrange return travel arrangements after 1 PM on Saturday, June 24th.

*New and Redesignated Schools to Watch being recognized at the 2017 conference get priority.

*For further information about the Schools to Watch Conference please visit http://www.middlegradesforum.org/index.php/conference

*Questions? email Tracy Cain at tracycain@middlegradesforum.org

Email address
Contact Information
School Name or Affiliated Organization
Please put schools full name
Your answer
School/Organization Street and/or Mailing Address
Your answer
School/Organization City
Your answer
School/Organization State
Please input the abbreviation (ie IL for Illinois)
Your answer
School/Organization Zip Code
Your answer
Presenter Information
Name of Primary Presenter
Your answer
Email Contact for Main Presenter
Your answer
Alternative Email Contact for Main Presenter
A none school email is preferred as sometimes school district servers are particular and will block our emails to you and your emails to us without either party notified that it has been blocked.
Your answer
Co-Presenter -1
Please make sure of accurate spelling
Your answer
Co-Presenter -2
Your answer
Co-Presenter -3
Your answer
Co-Presenter -4
Your answer
Co- Presenter -5
Your answer
Co-Presenter -6
Your answer
Co-Presenter -7
Your answer
Co-Presenter -8
Your answer
Co-Presenter -9
Your answer
Presentation Information
Please Indicate Your Strand Focus
Please choose the one that best fits.
Please Indicate Which Best Describes You
Please choose the one that best fits.
Title of Presentation
Keep Title to 15 words or less.
Your answer
Description of Presentation
Description of Presentation (Must be 50 words or less.): Cite best practices, STW criteria, research, and/or content to be emphasized in the presentation. Please be sure all wording and grammar are correct as this description will appear in the conference program book.
Your answer
Presentation Information to Know
Please read the following.
I have read and understand Information Sheet for Presentation Proposals
A copy of your responses will be emailed to the address you provided.
Submit
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