Tier 3 Break-Out Session Information Form Date, Time & Location of SLIP Winter Conference for Center-based Programs Professional Development January 19, 2017 (Day #1) Crowne Plaza, Lansing, MI CONTACT INFORMATION Name Title Affiliation/Agency Program you Represent Mailing Address City, State, Zip Telephone (office) Telephone (home or cell) E-mail Address PRESENTATION INFORMATION Session Title: Session Description: (One paragraph) Limited LCD projectors will be available. This will be on first-serve basis. Equipment Needs (other than LCD projector) Presenters will be responsible for providing their own handouts. Handouts GALLERY WALK INFORMATION If you are participating in the gallery walk, your area will need to be set up the night before or before 8 am January 19th. What will you be sharing in the gallery walk (e.g. Behavior Matrix, Posters, etc.)? Tables will be provided. Display needs: **PLEASE EMAIL THIS COMPLETED FORM TO TINA LAWSON AT
Tier 3 Break-Out Session Information Form Date, Time & Location of Professional Development SLIP Winter Conference for Center-based Programs January 19, 2017 (Day #1) Crowne Plaza, Lansing, MI CONTACT INFORMATION Name Title Affiliation/Agency Program you Represent Mailing Address City, State, Zip Telephone (office) Telephone (home or cell) E-mail Address PRESENTATION INFORMATION Session Title: Session Description: (One paragraph) Equipment Needs (other than LCD projector) Limited LCD projectors will be available. This will be on first-serve basis. Handouts Presenters will be responsible for providing their own handouts. GALLERY WALK INFORMATION If you are participating in the gallery walk, your area will need to be set up the night before or before 8 am January 19th. What will you be sharing in the gallery walk (e.g. Behavior Matrix, Posters, etc.)? Display needs: Tables will be provided. **PLEASE EMAIL THIS COMPLETED FORM TO TINA LAWSON AT
2107SLIP_Day1.docx