10th Annual WYAA State Conference Presenter Application
RequiredRequired Question(s)
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.
Presenter Biography
Please include education, experience, and training experience. 
 

350 characters left.
3.
Co-Presenter Information
Please include name, email, and company name and address.
 

350 characters left.
4.
Co-Presenter Biography
Please include education, experience, and training experience. 
 

350 characters left.
5.
Workshop Title
This will be used to promote the session in the Conference Guide. 
 

350 characters left.
6.
Workshop Abstract
This abstract will be used to promote the session in the Conference Guide. 
 

350 characters left.
7.
Target Audience
Mark all that apply.
Administrators / Program Directors/Supervisors
Program Staff
Community Partners
Trainers
Evaluators
School/Foundation Board Members, Partners
8.
Topics Covered
Mark all that apply.
NOW PRESENTING OUR NEW EARLY CHILDHOOD EDUCATION TRACK (Zero-5): Program quality practices, high quality enrichment activities, age appropriate STEM activities, early literacy, kindergarten readiness
Program Development & Quality: Homework help, tutoring programs, English language learning, credit recovery, special needs & inclusion
Expanded Learning Opportunities: Summer learning, STEM, project-based learning, youth leadership and/or development, arts, music, sports, science, social studies
Middle and High School Youth: 21st century skills; high school readiness; recruitment and motivation; high school graduation; college, career, and military readiness
Partnership Development: Family involvement, linkages with community, youth development, system-building and alignment services, system approaches, service learning
Leadership, Training, Management: Professional development, certification & credentialing, system building, training trainers, human resources
Messaging, Marketing, Advocacy: Working with policymakers, school boards, administrators, and municipalities
Research and Practice: Research, evaluation, assessment, accountability, sustainability
Service Learning: Volunteerism, community service, civic responsibility & engagement
9.
Program Characteristics
Mark all that apply.
Early Children, 0-5
Middle School
Middle School
High School
School Year Program
Summer Program
10.
Special Accommodations or Needs
Please inform the WYAA staff of any special accommodations you may need during the conference. 
 

350 characters left.
Required 11.
Disclaimer
The 10th Annual WYAA State Conference on Afterschool Programs may be recorded for noncommercial, promotional and educational purposes. By registering to attend the Conference and in connection with my participation in the Conference, I consent to the use of my name, voice, photograph, video or other likeness in the promotional and other materials of the Conference without payment or other consideration made to me. I waive the right to inspect or approve any such use of my name, likeness or voice. I expressly release the Conference sponsors, their trustees, officers, agents, employees, licensees, and assignees, from any and all claims, including copyright, privacy, and defamation arising out of any broadcast, exhibition, publication, or promotion of this Conference. I understand that the Conference may also be available on the sponsors' websites in live and archived formats.
Yes, I accept these terms.
No