First Name*
Last Name*
Email*
School/Organization*
Retired or Consultant ok
School/Org. Address*
City*
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 names with a comma)
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
Administrative/Leadership
Assessment/Accountability
Classroom Management
College and Career Readiness
Counseling
Data Analysis
Differentiated Instruction
English Learners
Health
Instructional Strategies
Language Arts
Learning Communities
Literacy
Mathematics
Parent/Community
Physical Education
Project Based Learning
Response to Intervention
School Climate and Safety
Schools to Watch-Taking Center Stage
Science
Social Science
Student Support
Students with Disabilities
Teacher Support
Technology
Presentation Title*
Eight words or less. Please capitalize words as needed and spell them out completely per proper English usage – texting-style language will not be accepted.
Presentation Description/Abstract*
In the space below, type your presentation description in 100 words or less . Include the following: goals of this presentation; rationale (why is this information important to middle school educators?); activities which will be incorporated; and what free tools, insights, ideas or resources participants will receive. Please write directly to participants: “In this session, you will…” Please capitalize words as needed and spell them out completely per proper English usage – texting-style language will not be accepted.
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)
Audiovisual
For my presentation I will need :
LCD Projector OR
Standard Overhead Projector
Each room will be equipped with your choice of LCD projector or overhead and a screen. NO OTHER AUDIOVISUAL EQUIPMENT WILL BE PROVIDED . Mac laptop users: please bring your own adapter if you will be requesting an LCD projector.
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*
Select One
Non-Commercial by Educator or Non-Profit
(not connected to any for-profit business)
------------
Commercial - Must purchase Exhibit Space
(business, company, representative, etc.)
-----------
Consultant - Must purchase Advertising
Space or Exhibit Space
Commercial Presenter Policy
CLMS 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. Sales of goods in your session are prohibited. By submitting this presentation, you have consented to this policy.
Verify *
I DID NOT USE HARD RETURNS IN MY ABSTRACT OR CO-PRESENTER FIELDS (see above). Using hard returns will result in your data not transmitting properly and you may be required to submit your application again. Please remove any hard returns before submitting.
Sign *
Please type your name as you would sign an official document.