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About You

Name of Presenter*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Contact Number*

Email*

About Your Workshop

Workshop Title*

Please use a creative title with 125 characters or less.

Workshop Summary*

Please include a summary of the workshop using descriptive language. (100 words or less)

Please list two (2) or three (3) outcomes that will enable participants to use the knowledge provided in your workshop to enhance the effectiveness of their work.

Examples: Participants will be able to identify 3 types of math skills to be developed in the school year. Participants will be able to plan 2 activities using manipulative materials for each of the 3 skills identified.

Outcome 1*

About Your Audience

Presentation

Please indicate how you will present

In-Person presentation - at the conference

Virtual presentation - Via Zoom (Presenter provides the Zoom link.)

Target Audience

Your workshop is best designed to address which group below?

Teachers

Administrators

Support Staff

Teacher Audience

Please indicate the primary audience for your presentation

Preschool Teachers

Primary Teachers (Grades K-2)

Intermediate Teachers (Grades 3-5)

Middle School Teachers (Grades 6-8)

High School Teachers (Grades 9-12)

Administrator Audience

Please indicate the primary audience for your presentation

Instructional Leaders

Executive Leaders

Preschool Directors

Finance Leaders

Guidance Counselors

Experience Level

Thinking about your target audience, who would best benefit from your content?

First Year

Rookies (1 - 3 Years Experience)

Veterans (3 - 7 Years Experience)

Seasoned Vets (Over 7 Years Experience)

Confirmation

Agreement*

Please indicate your agreement by including your initials below. I understand that my workshop may be offered as a live stream to conference attendees participating in a virtual setting. I also understand that my presentation will not be distributed or sold.

Audio Visual Needs: A microphone and screen will be provided in each workshop; however, presenters must be prepared to provide AV equipment to connect to projector.

If you have any questions, please contact the office at (800) 961-9645, or email to info@ilcsonline.com

Conference Workshop Proposal