Georgia Family Engagement Conference

Georgia Family Engagement Conference

Call For Presenters

Proposal Application Form

Revised 11/13/2015

Fill out the form by typing your information directly into the gray spaces in this Word document.

Save it to your computer and then attach it to your submission email.

Lead Presenter

Lead Presenter Name:

Title/Position/Role:

School/District/Organization:

Mailing Address:

City, State, Zip:

Telephone: / Fax:

Email:

Number of Co–Presenters:

Co-Presenters

Co-Presenter 1 Name:

Title/Position/Role:

School/District/Organization:

Co-Presenter 2 Name:

Title/Position/Role:

School/District/Organization:

Session Strands

Please check only one, the most appropriate for your session.

Research-Based Best Practices for Family Engagement

Parent Leadership and Skills Building

Student Support and Achievement Resources for Parents

Engaging Families of Young Children (Ages Birth to 8 years)

Elementary and Secondary Education Act (ESEA) Parental Involvement Compliance Requirements

Session Objectives

State two objectives participants can expect to obtain (maximum 200 words each).

1.
2.

Session Title(Maximum of ten words)

Session Description

Please provide a description, as you wish it to appear in the program, 100 words or less. We reserve the right to edit session descriptions that exceed 100 words.

Cite Your Sources

If you selected “Research-based Best Practices for Family Engagement” in the Session Strands section, please cite your sources of research studies, articles, journals, etc.

Presentation Methods

Check the methods you will use.

Lecture PowerPoint Video Question and Answer Group Activity

Hands-on-Activity Other

Presentation Preferences

Preferences will be given as space permits.

I prefer to present Friday Saturday Either Friday or Saturday

I am willing to repeat my session: Yes No

Identify the Target Audience

Check one or more.

Parents (Parents, PTA Members)

District Level Administrators (Superintendents, Title I, or Federal Programs Administrators)

School Level Administrators (Principals, Assistant Principals)

Program Staff (Parent Involvement Coordinators, Counselors, Social Workers)

Educators (Teachers, Paraprofessionals)

EarlyLearning Provider (Head Start/Early Head Start/Pre-K/Childcare Provider/Family, Friend, Neighbor Provider)

Elementary School

Middle School

High School

Collaborative Partners (Community, Family, and School)

Community and Faith-Based Organization Staff

State Agency and Organization Staff

Other:

Audio/Visual Equipment

Check what is needed.

Internet Speakers (Sound in Presentation)

Projection screens and an electrical set-up with an LCD projector will be provided. Presenters must provide their own laptop computers as they will not be provided. If you have any questions about your technical needs, please contact Kim Jones at .

Please print, sign, scan, and attach this signature page to your submission email.

I understand my services are complimentary and I waive consultant fees and travel expenses. I further understand that all presenters are required to pay the registration fee if they plan to attend any part of the conference beyond their scheduled breakout presentation.

Signature of Lead Presenter: ______

Submit the completed Proposal Application Form in Word format and a completed scan of this page no
later thanTuesday, November 17, 2015by emailing them to Kim Jones at .
The Word document and scan must be received in the same email.