T&L Leadership Summits are intimate, invitation-only events geared to district and state-level education leaders with a strong interest in technology's role in schools. Please use this form to indicate your interest in attending one of these Summits. Space is extremely limited and we can not guarantee you a spot but we promise to let you know as soon as possible whether you have been accepted. Tech & Learning covers the cost of hotel, air travel, and admission for approved attendees.

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* 1. Please fill out your contact information:

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* 2. If you have an assistant you would like us to cc on future correspondence, please fill out this information:

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* 3. Please indicate which of the following 2019 summits you would be interested in attending:

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* 4. How did you learn about these events?

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* 5. Have you attended a previous T&L Leadership Summit?

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* 6. Please describe, briefly, the technology-supported initiatives/approaches that you are most excited about sharing with other district leaders at this event.

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* 7. Please list the tech tools you are using primarily in your district:

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* 8. Please list the technology solutions you are looking to purchase for your district (hardware, software, curriculum, management systems, etc.):


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* 9. Please comment on any topics that you think are MUST-includes in the 2019 summits.

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* 10. Please indicate the number of students served by your district

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* 11. Do you have a close working relationship with a company that would make a good Summit sponsor? If so, please explain.

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* 12. Please indicate any additional people (from a district other than your own and/or a state-level person) you would recommend as speakers or  participants in the T&L Leadership Summit. Please include their name(s), title(s), district(s), phone number(s), and email address(es). 

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* 13. Additional Comments:

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