PRESENTATION FORM METC 2007
Please type or print all information. You can download this form at http://csd.org/metc2007.htm
IMPORTANT: APPLICATIONS TO PRESENT MUST BE RECEIVED
BY AUGUST 5, 2006

 (If more than one presenter, attach complete information for each person.) I'm also interested in exhibiting

 
Last name:             First Name:             Nickname (for name tag):
District/School/Company:          
Position/Title:            
Home Address:  
City:             State: Zip:           Home phone:
Work Address:            
City:             State: Zip:          
Work Phone:   Fax:
Email:          
Grade Level:   Subject:
Presentation Title:          
 
Presentation Description: (type in blank, attach single sheet in 60 words or less, or submit to dwhite@csd.org)

 
Theme (How does your proposal address the 2007 theme "21st Century Classroom -Technology Does Make a Difference!" ?)
Technology Integration (Identify technological tools addressed in your presentation.)
NETS Standards e.g. Students (NETS-S1,3) Teachers (NETS-T I, II, IV) Administrators (NETS-A I, II, IV)
Student Standards | Teacher Standards | Admin Standards
Please attach a brief autobiographical sketch including previous presentations.
Level of Presentation:
Awareness (exploring& gathering) Training (developing new skill set) Systemic (systemic change agent)
Session type and length:
1 hour breakout session
2 hour breakout session (Identify participant outcomes and how they will be measured.)

"Hands-on" 2 hour workshop (Identify participant outcomes and how they will be measured.)

Student only presentation
Student plus teacher presentation
Preconference workshop (6-hr) Monday, February 26 only
Preconference workshop (3-hr) Monday, February 26 only
Target Audience: Teachers Library Media Specialist Computer Specialist Technology Leader Administrator
Coordinator Gifted Special Needs Technical Staff
Which grade level will benefit most from this presentation: PreK-2 3-5 K-5 6-8 9-12 Post
Audience technology level: Beginner Intermediate Advanced
Best day to present: Preconference Workshops, Monday, February 26 Tuesday, February 27 Wednesday, February 28
 
Area of Interest (Please check ONLY one.)
Data-Driven Decision Making Digital Media Distance Learning
Handheld Computers Instructional Technology Integration   Learning From Students
Library Technology Integration Special Education Technology Leadership
  Technology Nuts and Bolts (technical)  
METC provides all breakout rooms with Internet access, SMARTboard & video projector. All additional equipment including laptop computers is the responsibility of the presenter. I agree to take part in the program, register for the conference and pay the presenters fee of $55.00 for each of the first three presenters (additional presenters are $90 ea.). Second day registration is $90.00 per person. I also agree to furnish copies of handouts for the participants in my session(s).
 
Signature:           Date:
 
MAIL OR FAX THIS FORM TO: COOPERATING SCHOOL DISTRICT.
Attn: Nancy George* 1460 Craig Road * St. Louis, MO 63146 * Fax (314) 872-9128
IMPORTANT: APPLICATIONS TO PRESENT MUST BE RECEIVED BY AUGUST 5, 2006