First Name*
Last Name*
E-Mail*
School / Organization*
can be retired or none.
School/Org. Address*
City*
State *
Zip*
School Phone*
Ext.
School FAX
Home Address
City
State
Zip
Home Phone*
an alternate phone number is required.
Select One
I am presenting alone.
The following are co-presenters:
PLEASE DO NOT ENTER HARD RETURNS.
(separate copresenter with a comma or semicolon)
Please note: Co-presenters must be registered conference participants. Only the main presenter's registration rate will be reduced. All others must pay full registration rates, either through their schools or individually.
Strand*
Select One
- Electives
- Health
- Interdisciplinary
- Language Arts
- Mathematics
- Physical Education
- Science
- Social Science
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Administration/Leadership
Higher Education
New Teacher Support/Mentor
Parent/Community
Professional Development
Research
School Climate
Standards/Assessment
Student Support
Technology Use & Integration
Unique School Issues
Other
Presentation Title*
Please limit your title to eight words or less:
Presentation Description/Abstract*
In the space below, TYPE the description of your presentation in 100 words or less . Include the following: (1) the goals of this presentation (2) rationale (why is this information important to middle school educators?) (3) activities which will be incorporated into this session.
PLEASE DO NOT ENTER HARD RETURNS.
(do not use the Enter Key on your keyboard)
Preference of Session Length
Workshop (1 hour)
Focus Session (2.5 hours)
Audio Visual
For my presentation I will need :
LCD Projector OR
Standard Overhead Projector
Each room will be equipped with a screen. NO OTHER AUDIO VISUAL EQUIPMENT WILL BE PROVIDED.
Room Set-up
(not guaranteed)
Most rooms will be set theater style. A limited number of rooms with tables are available for hands-on sessions.
Theater Style
Round Tables
I am available to present
Check all that apply. Specific day is not guaranteed.
Friday
Saturday
Sunday
Type of Presenter
Non-Commercial by Educator
(not connected to any for-profit business)
------------
Commercial - Must purchase Exhibit Space
(business, company, representative, etc.)
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Consultant - Must purchase Advertising
Space or Exhibit Space
Commercial presenters, if accepted, must pay a $100 fee for the opportunity to present.
Commercial Presenter Policy
CLMS, CLHS and NHSA will consider consultant or company presentations that provide free, useful information and resources to session participants. Sessions must not be merely sales presentations. Session participants must receive valuable information and strategies, regardless of whether they purchase products or services endorsed by the presenter. By submitting this presentation, you have consented to this policy.
Signature *
Please type your name as you would sign an official document: