Name: *
Professional Title (teacher, director, etc): *
Are you an approved trainer with The Registry: *	Yes No
Address: *
Phone: *
E-mail: *
Will you have a co-presenter? *	Yes No
Co - presenter professional Title (teacher, director, etc):
Co- presenter address:
Co - presenter phone:
Co- presenter e-mail:
Please describe your experience presenting: *
Please write a one-minute introduction for yourself and any co-presenters (if your proposal[s] is [are] chosen, this will be used to introduce you before your workshop[s]):
Intro: *
Complete this section if you wish to be considered for a Friday workshop.
Please check one or both:	Friday workshop (three hours) Friday evening workshop (1.5 hours) I will not present on Friday
Suggested Title of Presentation:
In this space, please include the write-up as you would like it to appear in the brochure if the proposal is accepted.
Please select the training area that best addresses your presentation:	Child Development (DEV) Developmentally Appropriate Practices (DAP) Family Relationships (FAM) Child Guidance (GUI) Safe and Healthy Environments (SAF) Observation and Assessment (OBS) Special Needs (SPN) Professionalism (PRO) Organizational Management (ORG) Cultural and Individual diversity (DIV) Community Collaboration (COM) Finance (FIN) Legal (LEG) Marketing (MAR) Personnel Management (PER) Regulatory Policy and Standards (REG) Adult Education (AED)
Facility, 1st preferred setting:	Classroom Lecture Hall Open Space (Limited Availability) Computer Lab
Facility, 2nd preferred setting:	Classroom Lecture Hall Open Space (Limited Availability) Computer Lab
A.V. Equipment is provided on a first-come, first-served basis. We will substitute if necessary.
A.V. Equipment	No A.V. Equipment Needed Yes, as listed below:
A.V. Equipment Needed:	Overhead Projector (markers & transparencies not supplied) VCR/Monitor CD Player Computer Projector Mac/Apple Computer PC/IBM Computer Podium Microphone Handheld Microphone Wireless Microphone
Additional Requests:
Complete this section if you wish to be considered for Saturday workshops (1 hour each)
Suggested Title of 1st Presentation: *
In this space, please include the write-up as you would like it to appear in the brochure if the proposal is accepted. *
Please select the training area that best addresses your 1st presentation: *	Child Development (DEV) Developmentally Appropriate Practices (DAP) Family Relationships (FAM) Child Guidance (GUI) Safe and Healthy Environments (SAF) Observation and Assessment (OBS) Special Needs (SPN) Professionalism (PRO) Organizational Management (ORG) Cultural and Individual diversity (DIV) Community Collaboration (COM) Finance (FIN) Legal (LEG) Marketing (MAR) Personnel Management (PER) Regulatory Policy and Standards (REG) Adult Education (AED)
Suggested Title of 2nd Presentation: *
In this space, please include the write-up as you would like it to appear in the brochure if the proposal is accepted. *
Please select the training area that best addresses your 2nd presentation: *	Child Development (DEV) Developmentally Appropriate Practices (DAP) Family Relationships (FAM) Child Guidance (GUI) Safe and Healthy Environments (SAF) Observation and Assessment (OBS) Special Needs (SPN) Professionalism (PRO) Organizational Management (ORG) Cultural and Individual diversity (DIV) Community Collaboration (COM) Finance (FIN) Legal (LEG) Marketing (MAR) Personnel Management (PER) Regulatory Policy and Standards (REG) Adult Education (AED)
Facility, 1st preferred setting: *	Classroom Lecture Hall Open Space (Limited Availability) Computer Lab
Facility, 2nd preferred setting: *	Classroom Lecture Hall Open Space (Limited Availability) Computer Lab
A.V. Equipment is provided on a first-come, first-served basis. We will substitute if necessary.
A.V. Equipment *	No A.V. Equipment Needed Yes, as listed below:
A.V. Equipment Needed:	Overhead Projector (markers & transparencies not supplied) VCR/Monitor CD Player Computer Projector Mac/Apple Computer PC/IBM Computer Podium Microphone Handheld Microphone Wireless Microphone
Additional Requests:
Additional Information for Accepted Proposals:      All handouts to be offered to participants must be submitted electronically by March 1. The conference personnel will put all handouts on a "hidden website" for participants and participants will then make copies. Presenters can bring additional handouts in insure that all participants have the handouts but electronic handouts are still required. We want all participants to have access to all of the handouts and believe this is the most cost effective way to do this.        Presenters are allowed to sell their products after their workshops outside of their presentation room. No sales of merchandise can take place during the presentations.         Presenters are also encouraged to purchase vendor space if that seems like a lucrative endeavor.  Please watch the Conference Website for vendor information regarding the 2010 conference.        If you need more than half an hour to set up or take down your materials for a presentation please make note of that on this proposal form.         If presenting on Saturday every attempt will be made to have both presentations back to back (unless otherwise requested not to by the presenter) and in the same space (even those who are being videotaped).        If you need something other than a classroom with chairs for your presentation it is your responsibility to put that information on this form.  Please do not expect to make special requests the day of the conference (tables and chairs, materials for a make and take workshop, open space for movement, etc.) as it is almost impossible to make these accommodations.        We will again be producing DVDs next year.
Please respond to the following: *	I welcome the possibility of videotaping my work and making the workshop available to participants. I do not wish to participate in being videotaped.
By signing electronically below I agree to the information in this proposal. Additionally, I agree to respond to requests for additional information in a timely manner to the best of my ability. I understand that I will be given reasonable due dates for materials to be returned and if I am not able to return paperwork by the due date that my proposal may not be accepted.
Electronic Signature: *
Today's Date: