AETC HOW Proposal Form

2012 AETC HANDS-ON WORKSHOP APPLICATION

Deadline for completed applications: December 15, 2011

The AETC Hands-On workshops (HOW) will be located at Hewitt-Trussville High School, 6450 Husky Parkway, Trussville, AL 35173. A full day of pre-conference workshops will be scheduled for Tuesday, June 12, 2012. The main conference days will be June 13-14, 2012 and the post-conference workshops for three hours on June 15, 2012.

Each Hands-On workshop session will have up to 20 participants. As part of the workshop, you are expected to provide digital or paper resources for the participants in your workshops. For your convenience, a presenter computer, LCD projector and wireless Internet access will be provided. Twenty (20) participant computers will be provided for use during the workshops with the exception of Bring Your Own Laptop (BYOL). Wireless Internet, MS Office, Adobe Reader, JAVA and Internet Explorer will be available on all HOW workshop machines. Additional plug-ins may be loaded upon request if included in this application.

If your application is accepted, the information from this proposal will be used to contact you and provide descriptions for the preliminary and final programs. Presenters will receive notice of acceptance by March 12, 2012. For more information contact Cheri Hayes at chayes@alsde.edu, 334-242-9594.

Presenter Information

Please provide the following information for the Lead Presenter.

* Required * Are you a vendor/exhibitor?

A vendor must be a registered exhibitor in order to apply to present. To register or get more information about vendor opportunities, contact: Connie Bond (connie@mcraemeetings.com or 866-678-2382 at McRae Meetings. Note: A vendor presentation must have an instructional or technology support focus. If you are a vendor, consider having an educator who uses your product to be the presenter or co-presenter. Educators prefer to attend sessions led by colleagues who truly believe in a product because it works for them.

Title

* First Name

Mi.

* Last Name

* Title/Position		* School/Organization
* Work Address
* City	* State * Zip
* Work Telephone Fax
* Email * Confirm Email *Alternate Email*
*Would you like your email address published in the program?*

*Home Address:*
*City:*	*State:* Zip
*Home Telephone:*	*Cell Phone:*

	*All conference materials should be mailed to:

* Brief Autobiography (1000 words maximum) This information will be used by the facilitator to introduce you.

*Professional Development Experience:

If you are NOT a returning AETC presenter, please provide a reference for previous experience:
Reference Name: Title:
Email: Phone:

*Additional Presenter(s): If you have multiple presenters enter their FULL NAME. *Only the Lead Presenter will be complimentary. DO NOT enter the name of the Lead Presenter in this area.

Co-Presenter #1: Email (optional): Vendor:

Co-Presenter #2: Email (optional): Vendor:

Co-Presenter #3: Email (optional): Vendor:

Co-Presenter #4: Email (optional): Vendor:

*Facilitator Recommendation:

Facilitator Name: Email: Phone:

Workshop Information

Target Audience

(Select all that apply)

Teachers

Administrators

Library Media Specialists

Special Educators

Technology Coordinators

Career Technical Educators

School Support Personnel

Resource Teachers

Other (describe below)

Audience Skill Level


	Beginning
	Intermediate
	Advanced

Prerequisites: (Please List)

Audience Grade Level Focus

(Select all that apply)
	K-5
	5-8
	8-12
	Other (describe below)

* Length of Workshop:

** NOTE to PASTE from another document CLICK in the targeted area; then press CTRL-V simultaneously.

* Session Title (15 word maximum):

* Session Description (50 words or less) Hands-on workshops are intended to engage participants over 50% of the session time, dealing with curriculum integration and technology skills. Provide a brief and interesting description of the proposed workshop for use in the program. We reserve the right to edit for grammar, spelling, clarity, consistency and space.

*IMPORTANT: List URLs to ALL Websites that will be used with participants during your session to be sure they will be unblocked!

(Requests made less than two months prior to the session may not be accommodated.)

*Describe materials that will be provided to participants (may be on CD or internet)

Website URL:

URL Link to Handouts:

A presenter computer, LCD projector and a minimum of 20 participant computers will be provided. Workshop participants will be limited for Hands-on workshops. Wireless internet, MS Office, Adobe Reader and Internet Explorer will be available on all HOW workshop machines. Please list any additional plug-ins that will be needed for your workshop session:

Additional Hardware provided by the presenter:

Additional Software provided by the presenter:

End of Application - Click the “Submit” button.