CMLA Session Application Primary/Contact Presenter Information Note: Please provide only one person’s name at this time. All communications will go to this person. *If you have co-presenters, you will have an opportunity to add them at a date. Name: Role: Principal Teacher Central Office University Administrator Other      Assistant Principal Guidance Curriculum University Professor Technology      School/Organization: Mailing Address: Work Home   City: State/Province: Country: Postal Code: Work Phone: ( ) Cell: ( ) Home Phone: ( ) Email: Website: Blog: Twitter: Facebook: LinkedIn: About You First-time presenter  I have presented for AMLE in the past  I have presented for other organizations  Your Geographical Location (optional) Large Urban Area Small Urban Area Suburban Rural     Presentation Session Title: (under 90 characters with spaces) Audience: Please indicate additional audience (please limit your selection to those specifically applicable to your presentation) only participants who may be interested in your presentation. Administrators Researchers   Community Leaders Specialists/   Librarians Teachers Consultants   Counselors Parents Team Leaders    Pre-Service Teachers Technical Coordinators District Personnel    Principals University/College Educators   Audience Level: (choose one) New Concept/Idea Beginner Intermediate Advanced     Are you planning to exhibit at the conference? No Yes Company/Organization name: ____________________________________________   Will attendees need to purchase curriculum, materials, and/or resources to implement ideas you present? No Yes  Conference Strands: (Please select only one) *refer to page 5 for conference strand descriptions 21st Century Skills Professional Preparation and Growth   Advisory and Personalized Learning Research   Assessment Rigorous and Relevant Curriculum   Effective Leadership Safe and Health School Environment   Middle Grades Students and Support Services Structures   Association for Middle Level Education 42nd Annual Conference for Middle Level Education CMLA Application for Presentation
CMLA Session Application Primary/Contact Presenter Information Note: Please provide only one person’s name at this time. All communications will go to this person. *If you have co-presenters, you will have an opportunity to add them at a date. Name: Role:  Principal  Teacher  Central Office  University Administrator  Other  Assistant Principal  Guidance  Curriculum  University Professor  Technology School/Organization: Mailing Address:  Work  Home City: State/Province: Country: Postal Code: Work Phone: ( ) Cell: ( ) Home Phone: ( ) Email: Website: Blog: Twitter: Facebook: LinkedIn: About You  First-time presenter  I have presented for AMLE in the past  I have presented for other organizations Your Geographical Location (optional)  Large Urban Area  Small Urban Area  Suburban  Rural Presentation Session Title: (under 90 characters with spaces) Audience: (please limit your selection to only those specifically applicable to your presentation) Please indicate additional audience participants who may be interested in your presentation.  Administrators  Community Leaders  Consultants  Counselors  District Personnel  Specialists/ Librarians  Parents  Pre-Service Teachers  Principals  Researchers  Teachers  Team Leaders  Technical Coordinators  University/College Educators Audience Level: (choose one)  New Concept/Idea  Beginner  Intermediate  Advanced Are you planning to exhibit at the conference?  No  Yes Company/Organization name: ____________________________________________ Will attendees need to purchase curriculum, materials, and/or resources to implement ideas you present?  No Yes Conference Strands: (Please select only one) *refer to page 5 for conference strand descriptions  21st Century Skills  Advisory and Personalized Learning  Assessment  Effective Leadership  Middle Grades Students and Support Services  Professional Preparation and Growth  Research  Rigorous and Relevant Curriculum  Safe and Health School Environment  Structures Association for Middle Level Education 42nd Annual Conference for Middle Level Education CMLA Application for Presentation
AMLE2015_CMLA_Presentation_Application.docx