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Session Proposal Form |
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I. |
I have read and agree to abide by the
Guidelines for Participation and Submission Instructions
(above).
Yes
No |
| II. |
Title of proposed session
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| III. |
Session description
In 50 words or
less, describe in lively language your proposed session content. This
description is intended for use in the program if the presentation is
selected.
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IV. |
Learner outcomes
Learner outcomes state what information attendees will
learn and be able to put into practice at the end of the session. List three
learner outcomes. Begin each outcome with an action verb, such as: plan,
demonstrate, design, locate, recognize, discover (not: know, learn,
appreciate or understand). Clearly number each outcome: 1, 2, 3.
At the conclusion of this session, the attendees should be able to:
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V. |
Action plan
Describe the methods you will use to accomplish the learner
outcomes and make this session as interactive as possible (i.e., panel,
lecture, individual exercises, small group discussion, case studies,
question/answer, handouts, etc.)
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VI. |
Additional Information (optional)
If you would like
to add additional information pertinent to the consideration of your
proposal, please do so here in 150 words or less.
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VII. |
If more than one proposal is submitted, please
indicate your priority ranking for selection.
Number of proposals submitted
. Priority for this proposal (One is highest)
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VIII. |
A/V equipment:
If your proposal is selected, you will receive a link to
the online "A/V Equipment Order Form.” The deadline for A/V equipment orders
is August 18. Please be thinking about your A/V needs now.
We will need to know:
- Will you be using a computer? (Presenter
furnishes own computer.)
- Does your computer presentation include
sound?
You may order:
- Data/Multimedia Projector*
- Internet Connection (A $150 fee will be
charged. We recommend that you save directly to your computer's hard
drive any Web pages that you want to show.)
- Overhead projector (used to display
transparencies)*
- DVD Player*
- VHS Player*
- Easel, flip chart and markers
- None of the above
- Other
*Screen and/or monitors will be
provided, depending on the equipment ordered and size of the room.
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IX. |
Session
Contact The Session Contact is WSSDA’s sole point of contact
regarding this submission. All correspondence will be directed to
this individual. Thus, the Session Contact is responsible for
communicating all information received from WSSDA with presenters
and/or panel members in a timely manner, for coordinating the
session, and for responding promptly to WSSDA’s communications.
We will be sending confirmation materials over the summer
months, so please provide below information that will allow us to
communicate during that time.
Is the Session Contact also
presenting in this session?
Yes
No If yes, please indicate the contact's role in the session:
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| X. |
Presenters
You do not need to repeat the contact
information from above. Please list all speakers and indicate the role they have in the session.
Please complete all fields fully. Accurate spelling and job titles are
a must. Name, professional title and
organization as listed below will be used for publications. Addresses
will be used for post-conference communication, such as thank you letters and speaker
referrals. (If contact is a presenter, no need to re-input
information).
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