I. PRINCIPAL PRESENTER
*First Name:
*Last Name:
Title:
*Affiliation:
*Mailing Address:
*City:
*State:
Choose one
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*ZIP code:
Country:
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*Phone:
*E-mail:
II. CO-PRESENTER(S)
(If you have additional co-presenters, please send their information via e-mail to Britt Fergusonfergub@mnstate.edu/a> - include the title of your presentation in the e-mail.)
First Name:
Last Name:
Title:
Affiliation:
Mailing Address:
City:
State:
Choose one
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP code:
Country:
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea GuineaBissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda St. Kitts and Nevis St. Lucia St. Vincent & Grenadines Samoa San Marino São Tomé & Príncipe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia Spain Sri Lanka St. Helena St. Pierre & Miquelon Sudan Suriname Svalbard & Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad &d Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America US Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands (British) Virgin Islands Wallis and Futuna Yemen Yugoslavia Zambia Zimbabwe Other
Phone:
E-mail:
III. *PRESENTATION TITLE
IV. *PRESENTATION DESCRIPTION
(50 words or less for publications and program)
V. *PRESENTATION ABSTRACT
(500-700 words ) Do not include authors' names, handouts, or program materials with the abstract. We recommend that you organize your abstract according to the following headings:
Title of presentation
Purpose of presentation (why is this important and who is the target audience)
Objectives of the presentation (what are you planning to do)
Rural focus (how is this different from what is presented at other conferences)
Practical applications (how can your results/strategies be used by others)
Relationship to the conference theme
Information (data or theoretical base) to support what is advocated.
VI. *CONFERENCE TOPIC STRANDS
Select one
1. Impacting Governmental Policy (federal, legal, reform, evaluation, staffing, funding)
2. At Risk (for dropout, school failure, gangs, substance abuse, violence)
3. Collaborative Education Models (regular education and special education)
4. Early Childhood (regular and special, curriculum, infant stimulation, preschool)
5. Gifted (assessment, identification, programming)
6. Inservice (training for parcticing teachers, administrators or volunteers)
7. Multicultural (curriculum, diversity, ethnography, special needs)
8. Parents and Families (training issues, communication, volunteers)
9. Preservice (training for teachers, administrators or volunteers)
10. Technology (curriculum, distance learning, computers, satellite instructions)
11. Transition (to community, work, independent living, post secondary education)
12. Other (transportation, health, related services, low incidence, etc.)
VII. *TYPE/LENGTH OF PROPOSED PRESENTATION
(Select one):
Research/Evaluation sessions: 20-minute report of research related to the strand. Time will be provided for discussion.
Promising Practices presentation: 50-minute discussion or demonstration of successful programming or teaching strategies relative to a specific strand.
Theory/Descriptive presentation: 50-minute description of theory or rationale using literature or field experience.
Roundtable discussion (Thursday): 25-minute session repeated three times in succession as participants rotate among tables/presentations.
Poster session (Friday): One and a half hour visual display of programs, applications or research.
Practioner session (Friday): 50-minute discussion or demonstration of successful teaching strategies specifically for K-12 teachers.
VIII. *FOCUS AUDIENCE
(Please select one)
General Educators
Special educators
Administrators
Support personnel
Parents
Preservice educators
IX. *EQUIPMENT NEEDS
Overhead projector & screen will be provided at no cost. Check items needed:
Overhead projector & screen
Slide projector
None
X. SPECIAL NEEDS
Describe any accommodations you require: