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Call for Presenters Leading Change 2013 (Partnership ...€¦  · Web viewJW Marriott Starr Pass,...

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Arizona Department of Education Call for Presenters Teachers’ Institute – June 12 – 13, 2017 JW Marriott Starr Pass, Tucson, AZ Breakout Session Presenter Application Return this form by emailing to the Teachers’ Institute inbox ( [email protected] ) no later than January 30, 2017 . You will be notified by February 15, 2017 if your session has been accepted. Please fill out this form in its entirety. This information will be used in reviewing proposals, providing descriptions to participants, and selecting room size. The Arizona Department of Education (ADE) will not be accepting vendor presentations. The Arizona Department of Education cannot endorse any services, products or applications. Click appropriate box ADE Presenter External Presenter (Registration Fee: $50.00 per day) (Registration: $50.00 for 1 day or $395.00 for 2 or more days) Strand Choose an item. Brief Session Title Please answer the following (200 word maximum) 1. Session Description 1 TI Breakout Session Review Form 10.2016
Transcript

Arizona Department of EducationCall for Presenters

Teachers’ Institute – June 12 – 13, 2017JW Marriott Starr Pass, Tucson, AZ

Breakout Session Presenter ApplicationReturn this form by emailing to the Teachers’ Institute inbox ([email protected])

no later than January 30, 2017. You will be notified by February 15, 2017 if your session has been accepted.

Please fill out this form in its entirety. This information will be used in reviewing proposals, providing descriptions to participants, and selecting room size.

The Arizona Department of Education (ADE) will not be accepting vendor presentations. The Arizona Department of Education cannot endorse any services, products or applications.

Click appropriate box

☐ ADE Presenter ☐ External Presenter(Registration Fee: $50.00 per day) (Registration: $50.00 for 1 day or $395.00 for 2 or more days)

Strand Choose an item.

Brief Session Title TTitlTitleTioPlease answer the following (200 word maximum)

1. Session Description

2. Learning Outcomes for Session

1 TI Breakout Session Review Form 10.2016

3. Expected Participant Implementation of Information After Conference

Has this information been presented before? ☐ Yes ☐ NoIf so, when, where and at what event?

Presenter Name

ADE Presenters OnlyDivision / Unit

Title Organization

Mailing Address

City State Zip

E-MailDay Time Phone(include area code)

Cell Phone Number:

Biography (50 words maximum)

Co-Presenter Name

Note: No more than one co-presenter will be permitted.

Target Audience will be (check all that applies):

☐ High School ☐ Junior High ☐ Elementary ☐ Pre-School

AvailabilitySession Presentations will be on Tuesday, June 13, 2017 only.

2 TI Breakout Session Review Form 10.2016

The Arizona Department of Education supports research and evidence-based professional learning for adultlearners that includes active engagement. Please check all the methods you will be using during your session.

☐ Large group discussion☐ Writing/journaling☐ Brainstorming☐ Small group exercises

☐ Small group discussion☐ Creating graphic displays of

data, key concepts, plans, etc.

☐ Directed physical movement (e.g. move to different parts of room, mark choices on posters, etc.)

☐ Panel

☐ Case study(ies)☐ Role-playing☐ Partner exchanges☐ Other (describe)☐ __________________

Please cite the primary scholars/experts you will be using as the basis for your presentation?

The final session description and presenter biography is due on March 13, 2017 and the session materials are due on May 1, 2017 in order to be uploaded to the Leading Change webpage and the Guidebook event application.

To ensure all sessions are of top quality and adhere to best practices in adult learning, each presenter will be required to attend a training to share and brainstorm what engagement techniques will be used in the sessions. You will have a choice of 3 dates.

☐ Monday, April 3, 2017 1:00pm – 3:00pm Jefferson location, Room 311

☐ Tuesday, April 4, 2017 1:30pm – 3:30pm Central location, Room 16-102

☐ Friday, April 7, 2017 10:00am – 12noon Central location, Room 16-102

Location Addresses: 1535 W. Jefferson, Phoenix, 850073300 N. Central, Phoenix, 85012

ADE Only - Approved by:

Print Supervisor Name

Signature/Date

Thank you for your submission.

2017 Techers’ InstituteLaura Dudzik, Event Management Administrator

[email protected]

3 TI Breakout Session Review Form 10.2016


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