Call For Presenters Form

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California Consortium for Independent Study
Independent Study – Leading the Charge on Personalized Learning
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CALL FOR PRESENTERS — 2015-16 CONFERENCES
Fall 2015: The Westin Mission Hills Golf Resort and Spa, Rancho Mirage – November 5, 2015
Hotel and Conference Registration Deadline: October 11, 2015
Deadline to Submit Presenter Proposal: September 15, 2015
Spring, 2016: The Sacramento Doubletree by Hilton – February 2, 2016
Hotel and Conference Registration Deadline: January 17, 2016
Deadline to Submit Presenter Proposal: November 15, 2015
I am willing to present at both conferences _____.
This proposal is only for the _______Fall Conference ______ Spring Conference
Name______________________________________________________Title_______________________________
Day Phone
Cell
Email
School/Organization:
City
Address:
Day Phone
Cell
State
Zip
Email
POSSIBLE PRESENTATION TOPICS: Please check the appropriate boxes before providing the session description:
K-8 Teacher Topics: __ Common Core English; __Common Core Math; __ Common Core History; __ Common Core
Science; __ Reading Strategies; __ Parent Involvement; __ Other (please
describe)___________________________________________________________________________________
9-12 Teacher Topics: __ Common Core English; __Common Core Math; __ Common Core History; __ Common
Core Science; __ Career and College Preparation; __ Other (please
describe)___________________________________________________________________________________
Adult Education Topics: __ ABE/Pre-GED; __ GED; __ Concurrent Programs; __ Adult Diploma; __ Resilience; __
DACA; __ Other (please describe)_______________________________________________________________
Administrator Topics: __ Teacher Evaluations; __ Starting an IS program or school; __ Single School Plan; __
Preparing for WASC; __ Preparing for an audit; (IS Attendance & UC A-G course submission to be covered by State
presenters); __ Other (please describe)_____________________________________________________________
Counselor Topics: __ Intake Strategies; __ Referrals; __ Transcripts; __ Mental Health; __ Career Preparation;
__ College Preparation; __ Other (please describe)___________________________________________________
Attendance Clerk Topics: The following will be covered by State presenters: Charter attendance; District/County
attendance; Work samples; Preparing for an audit; State CALPADS reporting
__ Vendor programs for records; __ Other (please describe) _________________________________________
Other Topics: __ Mental health; __ ESL Strategies; __ Establishing a HS Equivalency Test Center; __ Physical
Education; __ Electives; __ Other (please describe)___________________________________________________
PRESENTATION LENGTH:
□ 60 minutes
□ 2-part (60 minutes each, part 1 and part 2)
PRESENTATION TITLE
____________________________________________________________________________________________
PRESENTATION DESCRIPTION, including session objective and three participant outcomes (maximum of 50 words).
If your presentation is accepted, this description will be used in the program.
Additional presenters or panel members (with full contact information) should be noted on a separate piece of
paper or in an email.
CONFERENCE REGISTRATION (check one):
□
□
YES – I/my team will attend the conference and will register as an attendee(s) and pay registration fees.
Only the lead presenter only will receive a $100 discount. Co-presenters are not qualified for the
discount.
NO – I/my team will not attend the conference and will be attending as “Presenter(s) Only.”
There is no fee to present if you are not attending the conference.
Note: See Exhibitor Sponsorship Registration Application for Vendor Presentation Fees.
EQUIPMENT and MATERIALS
CCIS will provide an LCD projector, screen, table, cabling, and internet access (Wi-Fi access will also be available in
the meeting room for attendees). We will not provide a laptop computer. Bring your own laptop. If using
handouts, presenters should plan to bring at least 100 copies for breakout sessions.
□
Special Requests ________________________________________________________________________
SELECTION and CONFIRMATION
By submitting this presentation proposal, you are agreeing to your availability for the duration of the conference.
Every attempt will be made to honor special requests regarding presentation time. You will receive a confirmation
letter which will indicate the room name, capacity, and time of your presentation.
HOTEL INFORMATION – Fall Conference
The Westin Mission Hills Golf Resort and Spa is located at 71333 Dinah Shore Drive, Rancho Mirage, California,
92270. Reservations must be made directly with the hotel at 877-253-0041. Register as a CCIS attendee
before October 11, 2015 to receive the room rate of $169 plus taxes. Rates will be available three (3) days prior
and three (3) days after the Event. Reserve early as this CCIS rate is subject to room availability. Parking is
complimentary.
HOTEL INFORMATION – Spring Conference
The Sacramento Doubletree by Hilton is located 2001 Point West Way, Sacramento, California 95815. Reservations
must be made directly with the hotel at 800-344-4321. Register as a CCIS attendee before January 17, 2016 to
receive the room rate of $129 plus taxes. Rates will be available three (3) days prior and three (3) days after the
Event. Reserve early as this CCIS rate is subject to room availability. Parking is $4 per day for CCIS attendees.
CCIS CONTACT INFORMATION
Please submit completed form by fax, email, or mail to:
CCIS Administrators
PO Box 661568
Sacramento, CA 95866
Phone: 831-204-8795
Fax: 1-866-786-4989
Email: [email protected]
Thank you for sharing your knowledge and expertise!
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