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Submit a Presentation Proposal

Currently we are accepting proposals for the 2010 Achievement Gap Conference, and will continue to do so until all presentation openings are filled, and we have a waitlist. Thank you for your interest!

The conference program committee will notify you of their decision in March 2010. Conference presenters receive a discounted registration. Please note that all presenters are responsible for their own conference attendance costs. (The fee to participate as a presenter is approximately $200.00. Payment must be made by May 1, 2010.)

By submitting this proposal, you agree to present at this conference on any of the conference dates. A limited number of LCD projectors will be provided for each time block. In addition to the projector, a screen, cart, power strip and patch to house sound will be included. All other AV equipment must be provided by you or contracted personally by you with the hotel. The conference will not be providing overhead projectors (for transparencies), unless you contract with the hotel AV department directly.

We are specifically looking for achievement gap presentations on the following sub-topics:

• Successful Achievement Programs
• Serving At-Risk Populations
• Dropout Prevention
• Truancy
• RTI
• 21st Century Skills
• Literacy
• Graduation Success
• Positive School Environments
• Alternative Education

Guidelines for 2010: Presenters are encouraged to submit one proposal that may include up to, but no more than 3 co-presenters. You may submit more than one proposal, but understand that a second proposal may be accepted only if there is a presentation time available, after other single-proposal presenters have been accommodated.

• Conference presenters may refer to a specific program or product as it relates to the success of their students. However, presenters may not endorse or sell the product or program during their presentation.   Presenters that are solely for the purpose of selling or endorsing products will not be  allowed as a presenter in the future.

Many attendees are interested in learning about new products and services. To support that need, we are including commercial presentation slots.

• Commercial presentations slots will be available on a first come first served basis. These commercial 'infomercials' will be available at the price of $400 per time slot. Only a total of 6 time slots will be available.
• If a commercial presenter also would like to be an exhibitor, we will offer a discount for the exhibitor table, for a total price of $500 non-profit and $700 profit.
• Please indicate "commercial presentation" in the description section of this form if you wish to be included in this list. Once the list is full, presentations will be kept on a waiting list. Commercial presentations will not be assigned to regular presentation openings.
• Commercial presentations will be identified as such in all conference materials.
• Commercial presentations will be included in the general presentation schedule, and allowed the same time frame, however will be denoted as "Commercial presentation" in the description.

Sessions are 60 - 75 minutes in length.

If your proposal is accepted, we will contact you to confirm the details of your conference participation, and will be requesting registration payment. We look forward to hearing from you. Please let us know if you have any questions.

Thank You.

Mona Christensen, Conference Director

	Required fields marked with *
Presentation Information
*Title of Your Presentation:
*Brief Description: No more than 200 words. Type or print clearly. Please include the purpose of your session and learning objectives.
Are You Submittng Multiple Proposals? Yes    No
Principal Presenter/Organizer:
All correspondence will be addressed to this individual.
*Title:
*First Name:
*Last Name:
*Degree:
*Organization:
*Org. Address:
*Org. City:
*Org. State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Org. Zip Code:
*Work Phone:
Work Fax:
*Work E-Mail:
*Summer/Home Address:
*Home City:
*Home State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Home Zip Code:
*Home Phone:
Home Fax:
*Home E-Mail:
Send Correspondence to Org or Home Address? Org   Home
Are You a Full-Time Student? Yes    No
	If you do NOT have a co-presenter, click on the "Submit Form" button at left, otherwise, please continue by entering co-presenter information below. You may not list more than three co-presenters. Each co-presenter may attend the conference at the discounted rate. No more than three co-presenters will be allowed for a presentation session.
Co-Presenter 1
*Title:
*First Name:
*Last Name:
*Degree:
*Organization:
*Org. Address:
*Org. City:
*Org. State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Org. Zip Code:
*Work Phone:
Work Fax:
*Work E-Mail:
*Summer/Home Address:
*Home City:
*Home State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Home Zip Code:
*Home Phone:
Home Fax:
Home E-Mail:
Are You a Full-Time Student? Yes    No
	If you do NOT have a second co-presenter, click on the "Submit Form" button at left, otherwise, please continue by entering co-presenter 2 information below.
Co-Presenter 2
*Title:
*First Name:
*Last Name:
*Degree:
*Organization:
*Org. Address:
*Org. City:
*Org. State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Org. Zip Code:
*Work Phone:
Work Fax:
*Work E-Mail:
*Summer/Home Address:
*Home City:
*Home State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Home Zip Code:
*Home Phone:
Home Fax:
Home E-Mail:
Are You a Full-Time Student? Yes    No
	If you do NOT have a third co-presenter, click on the "Submit Form" button at left, otherwise, please continue by entering co-presenter 3 information below.
Co-Presenter 3
*Title:
*First Name:
*Last Name:
*Degree:
*Organization:
*Org. Address:
*Org. City:
*Org. State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Org. Zip Code:
*Work Phone:
Work Fax:
*Work E-Mail:
*Summer/Home Address:
*Home City:
*Home State:	Select Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Home Zip Code:
*Home Phone:
Home Fax:
Home E-Mail:
Are You a Full-Time Student? Yes    No