Minnesota Council of Teachers of Mathmatics
2010 Spring Speaker Proposal Form
Please submit this form by December 22nd. You may also print and mail to Nikki Walker, MCTM Proposals c/o Conference Connections, 6420 64th Street NE, Albertville, MN 55301. If you have any questions, please contact Nikki by email at NikkiWalker@mac.com or by phone at 763-245-0464.
Check all that apply I can participate in the conference as a speaker I would be willing to preside for my own session(s) I can participate in the conference as a presider for someone else's session
Presider Preferences
I would be willing to serve as a presider on:
Friday AM Friday PM Saturday AM
Level:
Personal Information
(*information will be used in conference materials if presenting or presiding)
Lead Presenter Name:		Title:
Affiliation:		Email:
Address:		City / State / Zip:
Home Phone:		Work Phone:
Additional Speaker Name:		Affiliation:
Additional Speaker Name:		Affiliation:
Session Information
Please check the KEY grade band for your presentation (choose only one): PreK-2   3-5   6-8   9-12   College   General Interest
Please check any additional APPLICABLE grade levels for your presentation: PreK-2   3-5   6-8   9-12   College   General Interest
Appropriate strand for your presentation (if applicable): Algebra Teaching Principle Standards Connections Learning Principle STEM Problem Solving CONNECT Session (Designed to attract beginning educators)
Appropriate category for your presentation: Regular Session (60 minutes) Workshop (90 minutes)
Equipment or faclities needs (All rooms will be equipped with an overhead projector, screen and appropriate microphones). Second Overhead Calculators - Model TI Monitor/VCR Monitor/DVD None Please note we are not offering sessions that require computer labs.
Session Title: (Two lines maximum; 33 spaces per line maximum)
Additional Description for Program: (Please limit to 20 words)
Proposals should be received no later than DECEMBER 22 to be considered in this year’s program. If proposal is received prior to December 22nd, the lead speaker will receive one $10 NCTM bookstore coupon and be entered in a drawing for one night’s lodging in a Duluth hotel. One coupon per lead speaker. If you have any questions, please contact Nikki Walker, Conference Connections: Phone (763) 245-0464 or email NikkiWalker@mac.com.