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Region 10 District/School Proposal Form
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District/School
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Contact Name (First and Last)
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Title/Position
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Email
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Title of Event/Presentation
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Name of presenter/presenters
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Targeted grade level
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Detailed description/learning outcomes (Please describe what participants will learn as well as how you will engage the audience in your presentation)
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Length of presentation/program/event
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What current research/researcher is your presentation based upon?
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What data/evidence supports this need in your district?
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How do you plan to sustain support?
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Program details (location, day of event, length of event, timeline, cost)
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Number of PD hours that will be issued for educators
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