Education Learning Session RFP Form

This form is for learning sessions aimed at individuals who are involved primarily in schools and education.

Download the INSTRUCTIONS.

Presenter

Name: *

Title:

Organization:

Mailing Address:

City:

State:

Zip:

Phone:

On-Site Phone (Cell): *

E-mail: *

Please describe your qualifications and relevant experience:

No need to supply references or a description of experience if you have previously been a presenter at HCHY

Reference One:

Please provide the name and email of two people who can attest to your expertise concerning the subject and your ability to present

Reference Two:

Co-Presenter

Name:

Organization:

Mailing Address:

City:

State:

Zip:

Phone:

On-Site Phone (cell):

E-mail :

Please describe your qualifications and relevant experience:

Reference One:

Please provide the name and email of two people who can attest to your expertise concerning the subject and your ability to present

Reference Two:

This session is being proposed by: *

Adult

Youth

Title: *

Session Description: *

50-70 words which may be edited for inclusion in the conference guide

Learning Objectives: *

2-3 bulleted, significant objectives, skills, or outcomes you want to make sure participants will gain after you share with them. Please label each as learning objective #1 and so on

Describe how your session will focus on asset building and/or community and social change in support of asset building: *

Explain how your session will relate to and flesh out the conference theme: *

Describe how your presentation will engage youth: *

Select the learning styles you plan to employ: *

(Choose all that apply)

Other (please specify):

This session relates to the education track of: *

Academic Achievement

School Climate

Student Behavior and Classroom Strategies

Parent and Community Engagement

Student Engagement and Leadership

Select the community setting for which your successful practice is most relevant:

Urban

Suburban

Rural

(Choose all that apply)

Select which stage of mobilization your successful practice would be most easily transferable:

Start-up

Growth

Established

Looking for new challenges or opportunities

(Choose all that apply)

Optimum length it will take you to share: *

90 minutes

3 hours

Either 90 minutes or 3 hours

Preferred day you would like to share: *

Thursday, Nov. 5

Friday, Nov. 6

Saturday, Nov. 7

No preference

Attachment	Size
2009-RFP-E.pdf	712.5 KB

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Education Learning Session RFP Form