Program Proposal: Invitation to Present
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PROPOSAL DEADLINE: February 9, 2005

SAMPLE FORM

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CONTACT INFORMATION
  * = REQUIRED FIELD
Lead Presenter (Last)*
Lead Presenter (First)*
Employer*
Job Title
Position
Preferred Mailing Address Home Office
Address: *
City/State/Province/Postal Code
Preferred Telephone Home Office Cell
Phone: *
Fax
E-mail Address
Title of Presentation
Conference Strand (select one)
Yes No If your session is selected are you willing to have it audiotaped for sale through NSDC?
Yes No Have you submitted a proposal to present at one of the last five NSDC annual conferences?
Yes No Have you presented at one of the last five NSDC annual conferences?
CO-PRESENTERS
Co-Presenter 1
Last Name:
First Name:
Employer:
Job Title:
Position:
Preferred Mailing Address Home Office
Address:
City/State/Province/Postal Code
Preferred Telephone Home Office Cell
Phone:
Fax
E-mail Address
Co-Presenter 2
Last Name:
First Name:
Employer:
Job Title:
Position:
Preferred Mailing Address Home Office
Address:
City/State/Province/Postal Code
Preferred Telephone Home Office Cell
Phone:
Fax
E-mail Address
Co-Presenter 3
Last Name:
First Name:
Employer:
Job Title:
Position:
Preferred Mailing Address Home Office
Address:
City/State/Province/Postal Code
Preferred Telephone Home Office Cell
Phone:
Fax
E-mail Address
PROPOSAL SPECIFICS
A. Session Outcomes:
List 3-4 intended participant outcomes for the session. In other words, what will participants know and be able to do as a result of participation in the session?
(Do not exceed 100 words)
B. Session Process:
Provide the session agenda and design. Include:
TIME: How much time for each part of your presentation?
CONTENT: What content will be presented/learned?
PROCESS: How will the participants be engaged with the content?
C. Research Base:
Describe the research base supporting your proposal.
(Do not exceed 100 words).
D. Presenter Qualifications:
Provide no more than 200 word introduction for the three lead presenters.
(60-70 words each).
E. Program Description/Abstract:
Write a 55-75 word abstract describing the objectives, content, and ways participants may use the information. The description should be concise, without educational jargon, and should be written in the present active tense. EXAMPLE
F. Prerequisites:
Identify prerequisite skills or knowledge necessary for participant learning.
(Not to exceed 100 words).
Statement of Intent
My co-presenters and I agree to take part in this program, register for the conference, and pay registration fees. We also agree to adhere to NSDC's policy prohibiting commercialism in presentations. I understand that if this proposal is accepted, I will be responsible for notifying each of my co-presenters regarding the status of the proposal and the date, time, and location of the presentation.
Yes No
Session Format (Select one)

Book Talk: The agenda is built around a series of questions or activities with the presenter serving primarily as facilitator.
Conversation: The agenda is built around a series of questions with the presenter serving primarily as facilitator.
Interactive: 50 percent or more of the time is spent by participants in a variety of learning strategies.
Lecture: More than 50 percent of session is delivered in a direct instruction format.

Session Length (select one) 2 hours     3 hours     4 hours     5 hours
Intended Audience (Select no more than three)
Superintendents/ assistant superintendents
District office personnel (directors/consultants for instruction,
      technology,curriculum, human resources and assessment)
District-level staff developers
Principals/assistant principals
School-based staff developers/coaches
Teacher leaders
 State/regional agency personnel
University faculty
Community/educational partners
Classified/support staff
School board trustees/policymakers
Private consultants
All
Session Topics (Select no more than three topics for indexing your session)
Adult Development/Learning
Assessment & Evaluation of Student Learning
Brain-Based Learning
Case Studies of Successful Schools &
     Districts
Change
Closing Achievement Gap
Coaching/Collegial Support/Follow-up
Collaboration/Team Building
Community Engagement
Comprehensive Professional Development
     Systems
Curriculum Development
Data-Driven Decision Making
Demonstrating Impact of Staff Development
Diversity & Cultural Responsiveness
Effective Teaching & Instruction
Facilitation Skills
Family Involvement
Job-Embedded Staff Development
 Learning Communities
Literacy
Mathematics/ Science
Mentoring/Induction
Models/Strategies of Staff Development
NCLB
Organizational Development
Policy Development
Presentation Skills
Principal Development and Support
School-based Staff Development and Coaches
Staff Development Resources including time
Support Staff/Classified Staff
     Development
Teacher Evaluation
Teacher Leadership
Technology as a Tool
Urban Issues
Audience Level (Select one)
Beginning: Session planned for participants with limited background in the content.
All Levels: Session planned for attendees of all experience levels.
Advanced: Session planned for attendees who have experience and knowledge of the session content.
Outcomes (Select one) Participants will leave proposed session with:
New knowledge
A deeper understanding of current knowledge
New skills
 
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