I.   Title of Presentation (as it will appear in the conference program):

Area of Focus (Check the one area that most closely matches your presentation):

	Beginning Teacher Requirements				Multi-Cultural Diversity
	Classroom Management (K-5)				Parental Conferencing
	Classroom Management (6-12)				Planning for Effective Instruction
	Differentiated Instruction (K-5)				Praxis Strategies
	Differentiated Instruction (6-12)				Support Coach Focus Group
	ESL (Meeting the needs of ESL students -SIOP)				Technology for the Classroom
	Exceptional Children Strategies for Regular Classrooms (Inclusion)				Understanding the Culture of Poverty
	Framework for 21st Century Learning				Using Data to Guide Instruction
	Motivating the Hard to Reach Student (K-5)				Writing Across the Curriculum
	Motivating the Hard to Reach Student (6-12)				Other (Specify below):

Categories of Instructional Strategies that Affect Student Achievement (Check all categories addressed by your presentation):

	Identifying similarities and differences			Cooperative learning
	Summarizing and note taking			Homework and practice
	Questions, cues, and advance organizers			Nonlinguistic representations
	Setting objectives and providing feedback			Generating and testing hypotheses
	Reinforcing effort and providing recognition			Other

        Select Targeted Audience:  Select One PreK-2 3-5 6-8 9-12 Elementary Middle/High All Other      Select Targeted Subject:  Select One The Arts Career/Technical English/Language Arts Math Science Social Studies Generic Other

II.   Program Abstract (as it will appear in the conference program)

      Provide an abstract describing your session in 100 words or less, exactly as you wish it to appear in the official conference program.

      Please type and proof prior to returning.  Longer abstracts cannot be accepted.

III.  Room Arrangement/Equipment

 All rooms will be equipped with a projection screen.  If other equipment is needed (VCR, DVD Player, TV, LCD projector, etc.), the presenter must provide it.

IV.  Printed Materials  

You will need to bring an appropriate number of copies of handouts per session (30-40).  Unfortunately, the conference cannot be responsible for any copying. 

V.  Presenter 

Select LEA Bertie Camden Edenton/Chowan Edgecombe Gates Halifax Hertford Martin Northampton Perquimans Roanoke Rapids Tyrrell Vance Warren Washington Weldon Other      

Last Name:		First Name:
School:		Grade/Subject:
Email:

*  If you are not an employee of a school system enter your place of employment in the "School" field and your area of expertise in the "Grade/Subject" field.

Concurrent sessions are 75 minutes in length.  They start at 8:30am and conclude at 3:30 pm on Saturday, April 28, 2012. 

Are you willing to present two sessions if needed?       Yes            No

Additional Guests:  The Collaborative will cover lodging and meals for presenters only.  Rates are based upon two persons per room.  Additional guests, such as spouse and/or children will be the responsibility of the individual.  If you plan to bring additional guests, please list them below:

Which night(s) will you need lodging?       Friday     Saturday     Both

Enter any special accommodations you may require (i.e. dietary or medical considerations):

When you submit your online registration, you will view a confirmation form.  Print the form for your records before closing the preview.

You will be notified as soon as the agenda is finalized.  You may request the number of participants registered for your session (s) as soon as the registration process is completed.