TSTA PROGRAM PROPOSAL
The TSTA Conference and Professional
Development Institute will be held at the Sheraton Music City Hotel in
Please type or print clearly.
NAME:
________________________________________________ NAME:
____________________________________________________
ADDRESS: _____________________________________________ ADDRESS:
________________________________________________
_________________________________________________________ ____________________________________________________________
CITY:
_____
Check here if you do not want your name & address _____ Check here if you do not want your name & address
to appear in
the program directory.
to appear in
the program directory.
DAY
PHONE:
___________________________________________ DAY PHONE:
______________________________________________
HOME
PHONE:
_________________________________________ HOME PHONE:
____________________________________________
FAX: ___________________________________________________ FAX:
______________________________________________________
E-MAIL:
________________________________________________ E-MAIL:
___________________________________________________
SCHOOL
SYSTEM/COMPANY/ORGANIZATION
AFFILIATION WHERE YOU
TEACH/WORK:
_________________________________________________________ ____________________________________________________________
YOUR
SESSION’S FACILITATOR:
________________________________________________________________________________________
TITLE
OF SESSION:
_____________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
BRIEF
DESCRIPTION:
___________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
TYPE OF SESSION: AUDIENCE:
ROOM ARRANGEMENT:
_____
HANDS-ON
_____
K-2 _____ CLASSROOM (TABLES & CHAIRS)
_____
DEMONSTRATION _____ 3-5 _____ THEATER SEATING
_____
LECTURE
_____ K-5 _____ SUPERVISION _____ THEATER
SEATING WITH ONE OR
_____
PANEL
_____
6-8 _____ HIGHER EDUCATION TWO
TABLES IN THE FRONT
_____
OTHER
_____ 9-12
CONTENT AREA: _____LIFE _____BIOLOGY _____EARTH _____ SPACE _____PHYSICS _____PHYSICAL
_____ CHEMISTRY
_____TECHNOLOGY _____ ENVIRONMENTAL _____
OTHER ________________________________
CONTENT STANDARD(S) ADDRESSED (Visit http://tennessee.gov/education/ci/sci/index.shtml
for help.)
PRESENTERS ARE RESPONSIBLE
FOR FURNISHING THEIR A/V EQUIPMENT AT THEIR OWN EXPENSE.
PLEASE NOTE: NO
COOKING OR HEATING IS ALLOWED IN THE MEETING ROOMS.
If
you have a preference for the day of your presentation, please indicate that
for the committee. We will try our best
to honor your request, but we cannot promise this day will be available during
scheduling.
_____
FRIDAY _____ SATURDAY _____ NO PREFERENCE Would you do a second
session? _____YES _____
NO
PLEASE INDICATE WHICH TIME FRAME
YOU PREFER _____ 1 HR
_____ 1.5 HRS _____ 2 HRS _____OTHER______________
________________________________________________________________________________________________________________________
PLEASE
RETURN TO: Lindsay Talarico,
199
SCHOOL PHONE: 901-853-3320 FAX:
901-853-3327
E-MAIL: ltalarico@scsk12.org