2020 REACH(c) Whole School Reform Presenter's Form Survey

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* 1. Answer all questions below.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address (please provide the email address that you regularly address)

Work Number

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* 2. Your cell phone number

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* 3. What is your current position?

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* 4. Tell us when you are available to present during the conference.

Saturday, February 15, 2020 10:30 am - Noon

Saturday, February 15, 2020 2:00 pm - 4:00 pm

Sunday, February 16, 2020 10:45 am - 3:15 pm

Sunday, February 16, 2020 10:30 am - Noon

Sunday, February 16, 2020 1:00 pm - 3:15 pm

There are several pre-determined topics that REACH will accept outside proposals from educators to present. If you are interested in presenting any of these topics, select it and use the topic to guide the remaining answers.

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* 5. Select up to three topics to present at the 2020 Whole School Reform Conference.

	First Choice	Second Choice	Third Choice	Not Interested	N/A
HOW HIGHER EDUCATION INSTITUTIONS ARE RESPONDING TO THE EVER-PRESENT ACHIEVEMENT GAP VIA ADMISSION PROTOCOLS	HOW HIGHER EDUCATION INSTITUTIONS ARE RESPONDING TO THE EVER-PRESENT ACHIEVEMENT GAP VIA ADMISSION PROTOCOLS First Choice	HOW HIGHER EDUCATION INSTITUTIONS ARE RESPONDING TO THE EVER-PRESENT ACHIEVEMENT GAP VIA ADMISSION PROTOCOLS Second Choice	HOW HIGHER EDUCATION INSTITUTIONS ARE RESPONDING TO THE EVER-PRESENT ACHIEVEMENT GAP VIA ADMISSION PROTOCOLS Third Choice	HOW HIGHER EDUCATION INSTITUTIONS ARE RESPONDING TO THE EVER-PRESENT ACHIEVEMENT GAP VIA ADMISSION PROTOCOLS Not Interested	HOW HIGHER EDUCATION INSTITUTIONS ARE RESPONDING TO THE EVER-PRESENT ACHIEVEMENT GAP VIA ADMISSION PROTOCOLS N/A
STRATEGIES FOR COUNSELORS TO PARTNER WITH COLLEGES AND UNIVERSITIES TO ENSURE THEIR STUDENTS HAVE ACCESS TO ENTRANCE	STRATEGIES FOR COUNSELORS TO PARTNER WITH COLLEGES AND UNIVERSITIES TO ENSURE THEIR STUDENTS HAVE ACCESS TO ENTRANCE First Choice	STRATEGIES FOR COUNSELORS TO PARTNER WITH COLLEGES AND UNIVERSITIES TO ENSURE THEIR STUDENTS HAVE ACCESS TO ENTRANCE Second Choice	STRATEGIES FOR COUNSELORS TO PARTNER WITH COLLEGES AND UNIVERSITIES TO ENSURE THEIR STUDENTS HAVE ACCESS TO ENTRANCE Third Choice	STRATEGIES FOR COUNSELORS TO PARTNER WITH COLLEGES AND UNIVERSITIES TO ENSURE THEIR STUDENTS HAVE ACCESS TO ENTRANCE Not Interested	STRATEGIES FOR COUNSELORS TO PARTNER WITH COLLEGES AND UNIVERSITIES TO ENSURE THEIR STUDENTS HAVE ACCESS TO ENTRANCE N/A
BEST STRATEGIES FOR INCREASING FAMILY ENGAGEMENT	BEST STRATEGIES FOR INCREASING FAMILY ENGAGEMENT First Choice	BEST STRATEGIES FOR INCREASING FAMILY ENGAGEMENT Second Choice	BEST STRATEGIES FOR INCREASING FAMILY ENGAGEMENT Third Choice	BEST STRATEGIES FOR INCREASING FAMILY ENGAGEMENT Not Interested	BEST STRATEGIES FOR INCREASING FAMILY ENGAGEMENT N/A
EXAMINING AND USING DATA TO ASSESS AND RESPOND TO ACHIEVEMENT GAPS BETWEEN MALE AND FEMALE STUDENTS	EXAMINING AND USING DATA TO ASSESS AND RESPOND TO ACHIEVEMENT GAPS BETWEEN MALE AND FEMALE STUDENTS First Choice	EXAMINING AND USING DATA TO ASSESS AND RESPOND TO ACHIEVEMENT GAPS BETWEEN MALE AND FEMALE STUDENTS Second Choice	EXAMINING AND USING DATA TO ASSESS AND RESPOND TO ACHIEVEMENT GAPS BETWEEN MALE AND FEMALE STUDENTS Third Choice	EXAMINING AND USING DATA TO ASSESS AND RESPOND TO ACHIEVEMENT GAPS BETWEEN MALE AND FEMALE STUDENTS Not Interested	EXAMINING AND USING DATA TO ASSESS AND RESPOND TO ACHIEVEMENT GAPS BETWEEN MALE AND FEMALE STUDENTS N/A
DEVELOPING INTENTIONAL FAMILY AND COMMUNITY PARTNERSHIPS THAT SUPPORT HIGH STUDENT ACHIEVEMENT	DEVELOPING INTENTIONAL FAMILY AND COMMUNITY PARTNERSHIPS THAT SUPPORT HIGH STUDENT ACHIEVEMENT First Choice	DEVELOPING INTENTIONAL FAMILY AND COMMUNITY PARTNERSHIPS THAT SUPPORT HIGH STUDENT ACHIEVEMENT Second Choice	DEVELOPING INTENTIONAL FAMILY AND COMMUNITY PARTNERSHIPS THAT SUPPORT HIGH STUDENT ACHIEVEMENT Third Choice	DEVELOPING INTENTIONAL FAMILY AND COMMUNITY PARTNERSHIPS THAT SUPPORT HIGH STUDENT ACHIEVEMENT Not Interested	DEVELOPING INTENTIONAL FAMILY AND COMMUNITY PARTNERSHIPS THAT SUPPORT HIGH STUDENT ACHIEVEMENT N/A
THE ACHIEVEMENT GAP AND STUDENTS WITH DISABILITIES	THE ACHIEVEMENT GAP AND STUDENTS WITH DISABILITIES First Choice	THE ACHIEVEMENT GAP AND STUDENTS WITH DISABILITIES Second Choice	THE ACHIEVEMENT GAP AND STUDENTS WITH DISABILITIES Third Choice	THE ACHIEVEMENT GAP AND STUDENTS WITH DISABILITIES Not Interested	THE ACHIEVEMENT GAP AND STUDENTS WITH DISABILITIES N/A
THE ACHIEVEMENT GAP AND ENGLISH LANGUAGE ARTS	THE ACHIEVEMENT GAP AND ENGLISH LANGUAGE ARTS First Choice	THE ACHIEVEMENT GAP AND ENGLISH LANGUAGE ARTS Second Choice	THE ACHIEVEMENT GAP AND ENGLISH LANGUAGE ARTS Third Choice	THE ACHIEVEMENT GAP AND ENGLISH LANGUAGE ARTS Not Interested	THE ACHIEVEMENT GAP AND ENGLISH LANGUAGE ARTS N/A
SOCIO-EMOTIONAL APPROACHES THAT CREATE INTELLECTUALLY SAFE CLASSROOM ENVIRONMENTS AND FOSTER HIGH STUDENT ACHIEVEMENT.	SOCIO-EMOTIONAL APPROACHES THAT CREATE INTELLECTUALLY SAFE CLASSROOM ENVIRONMENTS AND FOSTER HIGH STUDENT ACHIEVEMENT. First Choice	SOCIO-EMOTIONAL APPROACHES THAT CREATE INTELLECTUALLY SAFE CLASSROOM ENVIRONMENTS AND FOSTER HIGH STUDENT ACHIEVEMENT. Second Choice	SOCIO-EMOTIONAL APPROACHES THAT CREATE INTELLECTUALLY SAFE CLASSROOM ENVIRONMENTS AND FOSTER HIGH STUDENT ACHIEVEMENT. Third Choice	SOCIO-EMOTIONAL APPROACHES THAT CREATE INTELLECTUALLY SAFE CLASSROOM ENVIRONMENTS AND FOSTER HIGH STUDENT ACHIEVEMENT. Not Interested	SOCIO-EMOTIONAL APPROACHES THAT CREATE INTELLECTUALLY SAFE CLASSROOM ENVIRONMENTS AND FOSTER HIGH STUDENT ACHIEVEMENT. N/A
COMMUNITY-BASED ORGANIZATIONS' ROLES FOR SUPPORTING SCHOOLS' GOALS OF CLOSING THE ACHIEVEMENT GAP	COMMUNITY-BASED ORGANIZATIONS' ROLES FOR SUPPORTING SCHOOLS' GOALS OF CLOSING THE ACHIEVEMENT GAP First Choice	COMMUNITY-BASED ORGANIZATIONS' ROLES FOR SUPPORTING SCHOOLS' GOALS OF CLOSING THE ACHIEVEMENT GAP Second Choice	COMMUNITY-BASED ORGANIZATIONS' ROLES FOR SUPPORTING SCHOOLS' GOALS OF CLOSING THE ACHIEVEMENT GAP Third Choice	COMMUNITY-BASED ORGANIZATIONS' ROLES FOR SUPPORTING SCHOOLS' GOALS OF CLOSING THE ACHIEVEMENT GAP Not Interested	COMMUNITY-BASED ORGANIZATIONS' ROLES FOR SUPPORTING SCHOOLS' GOALS OF CLOSING THE ACHIEVEMENT GAP N/A

Other (What topic would you consider presenting, if those above do not align to your presentation proposal?)

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* 6. Presentation Title

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* 7. Intended audience for presentation

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* 8. Session description

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* 9. How will you ensure that your presentation is interactive?

Strategy 1

Strategy 2

Strategy 3

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* 10. What is the impact of the strategies you plan to share during your presentation?

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* 11. What is the artifact (evidence) of the positive impact of your strategy?

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* 12. Provide the names of co-facilitators. Presentations may have up to three presenters.

Co-Presenter 1

Co-Presenter 2

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* 13. Presenters at REACH(c) conferences or related programs are expected to use material and language that do not discriminate on the basis of gender, race, color, ethnicity, religion, physical ability, or sexual orientation. Presenters must either own the content they are planning to present or have permission from its owner to deliver it at REACH(c) Whole School Reform: 65 Years Post Brown V. Board of Education: Where Are We With Closing The Achievement Gap?

REACH is committed to ensuring that all presentations are facilitated by highly-qualified and educators with a track-record of success. Therefore, please forward your resume to jgeorge@reachedsolutions.com immediately upon submitting your proposal. If your proposal is accepted, you will need to submit a bio and high-quality picture to display on our website, advertisements, and programs.