Conference 2006 Program Proposal Form
Conference 2006 Program Proposal Form
Endless Possibilities through Reading and Writing
Saratoga, N.Y. November 8th-llth
Directions: TYPE all information on the Program Proposal Form and Abstract
Write all the names and affiliations as they should appear in the Conference Program. Attach a separate sheet for additional presenters that includes all of the information requested below. Secure advance permission from each individual listed. Include all of the information requested. Submit four (4) copies of materials. Please follow all directions. Proposals that do not adhere to the guidelines will not be considered. Computer generated forms are acceptable. Attach a brief synopsis of presentation.
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Title of Presentation-as you wish it to appear in the conference program (10 word limit)
Person Submitting Proposal:
Dr. Mr. Miss. Mrs. Ms._________________________________________________________________
Last Name First Name Middle Initial
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Primary Position
_____________________________________________________________________________________
Institutional Affiliation
_____________________________________________________________________________________
Business Address Zip
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Home Address Zip
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Telephone Home Business Cell
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List All Session Participants as the names should be listed in the program.
Facilitator_____________________________ Will act as own facilitator ________________________
Presenters____________________________________________________________________________
As a professional, nonprofit organization, NYSRA is unable to reimburse program participants for travel, hotel or other expenses.
All program participants are required to register for the conference and pay conferences fees.
Audio Visual Equipment Needed:________________________________________________________
Order forms for equipment that may be rented at the presenter's expense with be sent with the presentation confirmation.
_____________________________________________________________________________________
Signature of Person Submitting Proposal Date Submitted
Circle category your proposal best applies: Bilingual/English as Second Language, Differentiated Learning Styles, Leadership, Early Literacy, Primary Literacy, Middle School Literacy, High School Literacy, Technology in Literacy, Other: __________________
Incomplete proposals will not be considered. Four (4) complete copies must be postmarked no later than Tuesday, January 31, 2006. Send to: JoAnn Tomasino, 2006 NYSRA Conference Coordinator, 11 Carlow Street, Huntington, New York 11743
Additional Participants please use another page and include facilitator if different than a session presenter.
