2015 CCSS Conference Proposal Form

Applicant E-Mail

Important: Enter a valid e-mail address. ALL correspondence will be sent to this address.  Acceptance/non-acceptance letters will be emailed no later than October 2014.

All fields with an asterisk (*) are required fields.

E-Mail:*

Presenter Information

How do I find my CCSS membership number? You can obtain your membership number by logging into the CCSS website (www.ccss.org) and clicking on the View profile link. Please contact Marie Leon at marie@ccss.org if you need additional assistance.

CCSS Member No.

First Name:*

Last Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

School/Business Name (will be printed in conference program)*

Position/Title (will be printed in conference program)*

Please list the phone number at which you can best be reached.*

Home Phone:

Work Phone:

Cell Phone:

I will NOT be available Friday AM

I will NOT be available Friday PM

Co-Presenter Information

Presenter Fees:
Lead Presenter = $50.00 Registration Fee
2nd Presenter = $50.00 Registration Fee
All additional presenters = $150.00 each

Presenter #2:

Presenter #2 Email:

Presenter #3:

Presenter #3 Email:

Are any presenters named on another proposal?  If so, please list the names of the presenters.

Audience, Discipline and Strands

Audience: (Please check no more than 2 boxes)

Primary (K-3)

Elementary (4-5)

Middle (6-8)

Secondary (9-12)

College/University

General Audience

Please select the strands that best describe your session/workshop:

Scholar Series: What advances, changes and challenges face social studies in the coming decade?

Project Based Learning: Describe how Project Based Learning engages students in authentic learning experiences

21st Century Skills: Describe how students gain knowledge and skills to succeed as effective citizens, workers and leaders.

Technology: Describes how technology and the use of multimedia resources can be used in or outside the classroom.

Strands: (Please check no more than 1 box)

Strands

Content and Presentation

Proposal Type*

Setup Preference:*

Select the one area that best describes the content of your session/workshop.

Discipline*

Title of Session: (10 words or less)*

Abstract: (30 word limit) In the space below, type a description of the session as you would like it to appear in the Conference Program. Describe how your session/workshop will respond to the conference theme, discipline, and strand selected.

Abstract:*

Goals/Objectives: (Clearly state how your presentation addresses Common Core standards)*

Content/Skills: (Describe in detail what participants will learn by attending this presentation.)*

Presentation Strategies:*

Audio Visual Disclaimer

All rooms will be equipped with a screen and AV cart with cable hookups. You must provide your own laptop and projector.  Internet connection will also be a separate cost. Ordering information will be available in December 2014.

For Technology Sessions, presentation facility will be equipped with an LCD projector, Internet connection and House Sound.

I have read and understand the audio visual disclaimer*

Submit

By clicking the `Submit Application` button below, I hereby certify that all the

information I have given is accurate to the best of my knowledge. 

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