Please return this form by March 30, 2007  Extended till April 30, 2007
                            
Please complete ALL sections of this form.  You will be contacted regarding
acceptance of your proposal by April 30th, 2007.  Frequently asked Questions (FAQ's)
                                                                                          Back to Conference Page

NOTE: You must complete this form and click the 'submit' button while online at the web site.
            If 'Submit' will not work, copy and paste this form into your e-mail and send it to Phyllis directly
            at phyllismorrison@rcowen.com. Or print and  fax or send completed form by mail. 
                               
Please Print this Form before Submitting or Sending

NOTE After clicking on the 'Submit' button below you will receive an on-line
confirmation notice.  If you need to enter additional session leaders for this
proposed session, click on the button for additional session leaders at the bottom
of the confirmation notice page.

SESSION LEADER A         Required
home address                  Required
home city, state, and ZIP  Required
home phone                    
e-mail                            
current TLN position/year  
TLN Coordinator Name      
current school position/grade  
school name                    
school address                 
school city, state,  and ZIP
daytime/school phone         fax
School Dist                      
District City and State      

Session Leader A bio info for program*         

*Bio information should be exactly as you wish it to appear in the program, including your name. 
 

SESSION LEADER B          
home address                 
home city, state, and ZIP  
home phone                   
e-mail                           
current TLN position/year 
TLN Coordinator Name     
current school position/grade 
school name                       
school address                    
school city, state, and ZIP     
daytime/school phone            fax
School Dist                         

Session Leader B bio info for program*         

*Bio information should be exactly as you wish it to appear in the program, including your name.
 
Length         regular (1.25 hours)      back-to-back (2.5 hours total plus break)

Are you willing to repeat this session?    Yes or  No 

Audience (check all that apply):

       District Administrators                     Experienced teacher leaders/coaches
       School Administrators                 New teacher leaders/coaches    

      Classroom teachers  PreK-2          Administrators interested in joining TLN 
     Classroom teachers  3-5              Experienced TLN teacher leaders/TLN administrators
      Classroom teachers  6-8            
      Classroom teachers  9-12             other

The theme for this year's conference is "Effective Teaching, Coaching, and Leadership:
New Insights and Evidence". Conference sessions should reflect this theme and should support
the learning of the intended audience.  
     Conferences sessions will be selected based upon the following criteria:  
              * Link to the conference theme
              * Ability to stretch the mind of the intended audience
              * Engaging and reflective: opportunities for discussions, processing of understandings,
                 link to practice.        

Title and summary will be used exactly as you give them here for the program;
please keep the description as close to your actual plans for your session as possible.
Please include in this description how you will plan for opportunities for discussion, 
processing of understandings, and links to practice.
 

Session Title

    Summary 

AV Needs (all rooms will have an overhead projector, screen, and flip chart/easel).
Please provide your own overhead markers and flip chart markers.

         overhead projector/screen            VCR/monitor
             (VCR/monitor availability limited and not guaranteed.)   
         flip chart/easel                           Microphone
                                                                                                                   

Please return this form by March 30, 2007 to:
                              ATTN: Phyllis Morrison
                              
NOTE After clicking on the 'Submit' button below you will receive an on-line
confirmation notice.  If you need to enter additional session leaders for this
proposed session, click on the button for additional session leaders at the bottom
of the confirmation notice page.

 Print a copy of this form before clicking the submit button
 Click the 'Submit' button and this will be sent to Phyllis Morrison
                                                                                  at Richard C. Owen Publishers, Inc.
                             Or
                                Send a printed copy to:
                                Richard C. Owen Publishers, Inc. /TLN Conference 2007
                                PO Box 585, Katonah, NY 10536
                                FAX 914/232-3977;  Phyllismorrison@rcowen.com