(Length of Breakout Sessions is 45 to 60 minutes)
(* required field)
Date of Submission:* * (YYYY-MM-DD)
Primary Speaker Name:*
Primary Speaker Company:*
Primary Speaker Title:*
Primary Speaker Email Address:*
Primary Speaker Phone Number:*
Has the speaker spoken at a previous NC Alliance Conference? Yes No
Additional Speakers' name(s) & titles:
Will you require an lcd projector? Yes No
Will you require wireless internet access? Yes No
Will you require a white board? Yes No
Are there any other special equipment needs that you will require? Yes No
If yes, please specify:
Presentation Panel Workshop Focus Group
Governance Teaching New School Development Leadership
Legal/Accounting Instructional Facilities Training Testing Accountability Other
If other, please explain:
This text will be used for the website and printed materials. In a nutshell, what your presentation will cover. Attendees will read this to get an idea of what they should know before your presentation, and what they will learn after. Use these paragraphs to tell people how technical the talk is, what tools will be used, what materials to read in advance to get the most out of your presentation. This abstract is the primary way people will be drawn to your session.
This text will be used for the website and printed materials. Cover any professional history that is relevant to the presentation, including past jobs, tools that you have written, etc. Let people know who you are and why you are qualified to speak on your topic.
If I am selected to speak, I, , understand that I must complete and fulfill the following requirements:
1) I understand I will be contacted by the Alliance using the contact information I have provided (telephone/or email) if I am accepted as a presenter at the Conference. I understand that if I do not reply to this confirmation within 48 hours, I may be replaced by an alternate presentation.
2) I will include a detailed bibliography as either a separate document or included within the presentation of all resources cited and/or used in my presentation.
3) I will complete my presentation within the time allocated to me - not running over the time allocation.
4) I understand that I am responsible for my own travel and hotel expenses.
5) I hereby give NC Alliance for Public Charter Schools permission to duplicate, record and redistribute this presentation; including, but not limited to, the conference proceedings, conference CD, video, audio, hand outs(s) to the conference attendees for educational, on-line and all other purposes.
I, , have read the above and understand and agree to the terms as detailed in the Agreement to Terms of Speaking Requirements.
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