2010 Early Childhood Conference

"Wiggle, Giggle, & Learn"

March 6, 2010
8:00am - 4:00pm
University of Wisconsin-Platteville


All form items are required unless labeled "optional."

  1. Title of Presentation


     
  2. Major Presenter

    Name:

    Position/Title:

    District/Affiliation:

    Home Address:

    City:      State:      Zip:

    Home Telephone:

    Work Telephone:

    E-mail Address:
     
  3. Additional Presenters (optional)

    Include name, address, phone, and district/affiliation for each additional presenter (optional).
     

     
  4. Type of Program

    Panel
     
    Demonstration
     
    Lecture/Talk
     
    Please specify if other:
     
  5. Intended Audience

    Clientele are 2 years old or younger

    Clientele are between the ages of 3 years and 6 years

    Clientele are 7 years old or older

    Program development
     
  6. Room Setup (optional)

    Classrooms are set up with tables and chairs and have high-tech capabilities. Please select technology needs from the following:

    Computer with Projector Document Camera DVD Player VCR

    Rooms do not have sinks. We will try to accommodate your requests. Please describe an alternative setup if needed.
     

     
  7. Number of Sessions
     
    Please indicate the sessions in which you wish to present. Multiple/repeated sessions are encouraged. Please note that times are approximate and may change as we continue to plan the conference.

    Session A (9:45 AM to 11:00 AM)

    Session B (12:45 PM to 2:00 PM)

    Session C (2:15 PM to 3:30 PM)
     
  8. Description

    Please provide a description which clearly explains the content of your presentation and emphasizes what participants will learn in no more than 35 words.  If you are providing take-home resources, please refer to them in your description. Word it as you would like it to appear in the conference brochure—this will help participants choose the workshops that fit their needs.


     
  9. Handouts

    Handouts are the responsibility of presenters. We will let you know how many people are registered for your workshop at least one week before the conference so that you have time to prepare your handouts.
     
  10. Biography - This will be used to introduce you during your session.

    Please provide a 5-10 sentence biography including your education and professional experience.


     
  11. Workshop Size

    Please indicate the audience size with which you are most comfortable.

    30 or fewer

    30 - 50

    50 - 75

    Please specify if other:
     
  12. Categories

    For registry labels, which core topic areas best describe your presentation?

    Child Development (DEV)

    Developmentally Appropriate Practices (DAP)

    Guidance (GUI)

    Professionalism (PRO)

    Finance (FIN)

    Marketing (MAR)

    Regulatory Policy and Standards (REG)

    Personnel Management (PER)
          Cultural & Individual Diversity (DIV)

    Family Relationships (FAM)

    Observation & Assessment (OBS)

    Safety & Healthy Environment (SAF)

    Legal (LEG)

    Organizational Management (ORG)

    Adult Education (AED)

  13. Compensation

    Please indicate your preference for a complimentary conference registration or honorarium, as a token of our appreciation for taking the time to present at our conference. Major program presenters may choose one of the following:

    Complimentary conference registration
         (includes materials, refreshments, lunch, workshops, and keynote addresses)

    $50 honorarium

    Waive compensation
         (Thank you for helping to support the conference!)

    Note: Additional presenters will receive a complimentary conference registration.
     
  14. Additional Comments (optional)