Program Proposal: Invitation to Present
No fax or mailed copies accepted.
Send inquiries to: Stephanie.hirsh@nsdc.org.

PROPOSAL DEADLINE: February 9, 2006

SAMPLE FORM

- return to the proposal page to submit a proposal.
CONTACT INFORMATION
  * = REQUIRED FIELD
Lead Presenter (Last Name):*
Lead Presenter (First Name):*
Employer:*
Is any member of the presentation team an employee of a school district? Yes No
Job Title:
Position:
Preferred Mailing Address Home Office
Street address: *
City: *
State/Province: *
Province/Postal Code: *
Preferred Telephone Home Office Cell
Phone: *
Fax:
E-mail Address:
CO-PRESENTERS

Co-Presenter 1
Last Name:
First Name:
Employer:
Job Title:
Position:
Preferred Mailing Address Home Office
Street Address:
City:
State/Province:
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
Street Address:
City:
State/Province:
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
Street Address:
City:
State/Province:
Province/Postal Code:
Preferred Telephone Home Office Cell
Phone:
Fax:
E-mail Address:
PROPOSAL SPECIFICS
You will not be able to save your proposal if you exceed the specified number of words in the following sections. We recommend that you draft your responses in another document and, when you know they will fit, cut and paste them into this form.
1. Title of Presentation:
2. Session Critical Issues and Topics
(select one Critical Issue and one to three Topics):
Critical Issue:
Topics:
Select a Critical Issue to reveal a list of topics
3. Participant 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 200 words.)
4. 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?
5. Research Base:
What best practices or research have informed your work?
(Do not exceed 100 words.)
6. Results:
What results is your work producing?
(Do not exceed 100 words.)
7. Presenter Qualifications:
Provide no more than 200 word introduction for the three lead presenters.
8. 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
9. Session Length: (select one) 2 hours     3 hours     4 hours     5 hours
10. 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
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 six NSDC annual conferences?
Identify conferences at which you have previously presented.
2000
2001
2002
2003
2004
2005
Yes No If your session cannot be accommodated for the time period you have indicated, are you willing to have it considered for a Roundtable presentation? Roundtable sessions are conducted in a large room with presenters seated with approximately 10 attendees for a 45-minute overview presentation. The presentations are offered twice in a two-hour presentation slot. There is limited access to electrical power in this format.

Statement of Intent


My co-presenters and I agree to take part in this program, register for the conference, and pay registration fees. 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.

We agree to cite all appropriate sources and to get appropriate permissions with regard to the materials used in the session. We also agree to adhere to NSDC's policy prohibiting commercialism. Yes No

 
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