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MN Adult Ed
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Presenter Form – Language & Literacy Institute
PLEASE NOTE:
In addition to this form, you must also complete the Registration form.
Registration
opens December 17.
Date
*
MM slash DD slash YYYY
Presenter Information
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Your Organization
*
Your Title
*
For example, ESL Instructor
Brief Bio (approx. 100 words)
*
Session #1 Information
Title of SESSION #1 that you are presenting:
*
Session #1: Are you the designated Lead Presenter for this session?
*
Yes
No
Session #1 LEAD PRESENTERS: Please provide a brief workshop description (up to 200 words).
*
Session #1: Please provide 3-5 session objectives.
*
Session #1: Level of students targeted in your session (check all that apply)
*
Low-literacy + Beginning ESL
Intermediate ESL
Advanced ESL
Beginning ABE
Intermediate ABE
Secondary ABE
Session #1: In your presentation, which instructional delivery model(s) is/are most emphasized?
*
(Meaning the bulk of your examples, tips, etc. are focused on what mode(s) of teaching, so that attendees can choose sessions wisely)
Select All
In-person
Remote
HyFlex
Session #1: CCRS English/Language Arts shifts emphasized in your session (if any - highly encouraged):
Text complexity
Employing evidence
Building knowledge
Session #1: TIF Category and skills emphasized in your session (if any - highly encouraged):
Effective Communication
Learning Strategies
Critical Thinking
Self-Management
Developing a Future Pathway
Navigating Systems
Session #1: Northstar digital literacy standard categories addressed in your session (if any - highly encouraged):
Essential Computer Skills (internet basics, email, Windows, etc.)
Essential Software Skills (Word, Excel, Google docs, etc.)
Using Technology in Daily Life (Social media, career search, digital footprint, etc.)
Session #1 LEAD PRESENTERS: Please list the name(s), email(s), and organization(s) of your co-presenter(s), if applicable.
Click the PLUS SIGN to add additional co-presenters.
Co-Presenter/Panelist Name
Organization
Email
Role (co-presenter or panelist?)
Session #1: Your meeting room will have a projector, screen, microphone, speakers, flip chart, markers, wifi, and presenter table. You are responsible for bringing your own laptop. Is there anything else you need for the success of your session?
*
Yes
No
Please explain:
*
Session #1: Will you have any panelists in your session?
*
Yes
No
Will you need a panelist table?
*
Yes
No
For how many people?
*
Session #1: Will you need a mic?
*
Yes
No
How many mics will you need?
*
Are you planning any special activities during your session? (Gail Rutan will contact you to discuss the details.)
*
For example, video conferencing, videotaping, computer stations, etc.
Yes
No
Please describe the special activity you have in mind.
*
This field is hidden when viewing the form
Your meeting room will be set with round tables. Do you have any of the following additional needs?
*
Panel discussion head table
Presenter table in addition to the AV cart
No special preferences
Other room set-up preferences (NOTE: We will do our best to accommodate you but may be limited):
I would like a participant list of registrants in advance of my session.
*
This list will include names and emails and will be provided the week of the session.
Yes
No
Do you need ATLAS to make photocopies for you?
*
NOTE: Documents must be emailed as PDF or Word attachments (not Google Docs) to Gail Rutan by MONDAY, JANUARY 13. Sorry, no exceptions.
Yes (documents must be emailed as attachments by MON. JAN. 13)
No
What materials or equipment, if any, do you want participants to bring to the event? (for example, CCRS books, laptops, etc.) Please be specific, as this will be included in participant communications.
NOTE: If participants should bring laptops/devices, be sure to include this in your session description.
Additional Needs or Instructions:
Are you presenting another session at this event?
*
Yes
No
Session #2 Information
Title of SESSION #2 that you are presenting:
*
Session #2: Are you the designated Lead Presenter for this session?
*
Yes
No
Session #2 LEAD PRESENTERS: Please provide a brief workshop description (up to 200 words).
*
Session #2: Please provide 3-5 session objectives.
*
Session #2: Level of students targeted in your session (check all that apply)
*
Low-literacy + Beginning ESL
Intermediate ESL
Advanced ESL
Beginning ABE
Intermediate ABE
Secondary ABE
Session #2: In your presentation, which instructional delivery model{s) is/are most emphasized?
*
(Meaning the bulk of your examples, tips, etc. are focused on what mode(s) of teaching, so that attendees can choose sessions wisely)
Select All
In-person
Remote
HyFlex
Session #2 CCRS English/Language Arts shifts emphasized in your session (if any - highly encouraged):
Text complexity
Employing evidence
Building knowledge
Session #2: TIF Category and skills emphasized in your session (if any - highly encouraged):
Effective Communication
Learning Strategies
Critical Thinking
Self-Management
Developing a Future Pathway
Navigating Systems
Session #2: Northstar digital literacy standard categories addressed in your session (if any - highly encouraged):
Essential Computer Skills (internet basics, email, Windows, etc.)
Essential Software Skills (Word, Excel, Google docs, etc.)
Using Technology in Daily Life (Social media, career search, digital footprint, etc.)
Session #2 LEAD PRESENTERS: Please list the name(s), email(s), and organization(s) of your co-presenter(s), if applicable.
Click the PLUS SIGN to add additional co-presenters.
Co-Presenter/Panelist Name
Organization
Email
Role (co-presenter or panelist?)
Session #2: Your meeting room will have a projector, screen, microphone, speakers, flip chart, markers, and wifi. You are responsible for bringing your own laptop. Is there anything else you need for the success of your session?
*
Yes
No
Please explain:
*
Session #2: Will you have any panelists in your session?
*
Yes
No
Session #2: Will you need a panelist table?
*
Yes
No
Session #2: For how many people?
*
Session #2: Will you need a mic?
*
Yes
No
Session #2: How many mics will you need?
*
Session #2: Are you planning any special activities during your session? (Gail Rutan will contact you to discuss the details.)
*
For example, video conferencing, videotaping, computer stations, etc.
Yes
No
Please describe the special activity you have in mind.
*
This field is hidden when viewing the form
Your meeting room will be set with round tables. Do you have any of the following additional needs?
*
Panel discussion head table
Presenter table in addition to the AV cart
No special preferences
Session #2: Other room set-up preferences (NOTE: We will do our best to accommodate you but may be limited):
Session #2: I would like a participant list of registrants in advance of my session.
*
This list will include names and emails and will be provided the week of the session.
Yes
No
Session #2: Do you need ATLAS to make photocopies for you?
*
NOTE: Documents must be emailed as PDF or Word attachments (not Google Docs) to Gail Rutan by MONDAY, JANUARY 13. Sorry, no exceptions.
Yes (documents must be emailed as attachments by MON. JAN. 13)
No
Session #2: What materials or equipment, if any, do you want participants to bring to the event? (for example, CCRS books, laptops, etc.) Please be specific, as this will be included in participant communications.
NOTE: If participants should bring laptops/devices, be sure to include this in your session description.
Session #2: Additional Needs or Instructions:
Submit your form
We recommend checking over your form before submitting it. Unfortunately there is no way to edit it once it's been submitted.
Please check for a confirmation email; if you do not receive it within 2 minutes, your invoice was not received by ATLAS.
*
I understand.
Please wait for the CONFIRMATION screen after clicking the "Submit" button.
Otherwise your submission may not go through.
Contact Us
Gail Rutan
Senior Events Manager
[email protected]
