Position / Title:

Mailing Address Line 1:

Address Line 2:

City: State:

Zip:

Home Phone:

Office Phone:

Fax: Email:

Would you be willing to make your presentation twice?
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Choose the focus area related to your presentation (choose one area):
Classroom Interactions that Support Inquiry
Engaging Contexts for Literacy Learning
Supporting Classroom Authors
Response to Literature
Engagin Students through Quality Literature

Title of Session:

Description of session for program (25-50 words):

Please identify the audience for which this session is appropriate (check all that apply):

Preservice Teachers 

Inservice Teachers

Early Elementary (K-2)

Upper Elementary (3-5)

Middle School (6-8)

High School (9-12)

Other (Please Specify):

Abbreviated Biography (approx. 50-75 words):

Co-Presenter(s):

Co-Presenter 1 Name:

Position/Title:

School/University Affiliation:

Co-Presenter 1 Abbreviated Biography (approx. 50-75 words):

Co-Presenter 2 Name:

Position/Title:

School/University Affiliation:

Co-Presenter 2 Abbreviated Biography (approx. 50-75 words):