Math Expression Speaker Interest Application
Thank you for your interest in being a speaker at the upcoming Math Expressions Summit.  Please fill out this form with your proposed topic and intended audience.   
We will be notifying speakers of their acceptance within a week of your application submission.  We will also keep your information on file for a year.  
Email *
Name  *
Job Title *
What grade level do you teach and/or what leadership role do you hold?
 *
Are you a teacher that is in the first or second year teaching Math Expressions?
 *
How many years have you been in education?
 *
What Professional Certifications, Awards, Nominations have you been awarded?  Not required to be selected as a presenter. *
Have you had any previous speaking or presenting to teacher audiences experience?  Please expand on this: *
For this upcoming summit, all presentation recordings and materials must be submitted by June 1, 2024.  If that is not a due date that you are able to meet, please let us know.
 *
Please share why you'd like to present at this summit.   *
If you chose "other" please provide your idea(s) here:
Please share 3-5 sentences that expand on your presentation topic.  You can share the 3 Big Wins that you'd like an audience member to take-away or share more about what you will be talking about during your presentation.

This summit will focus on the 5 Core Structures.   Please choose one that you would like to present on.

     Building Concepts

     Student Leaders

     Quick Practices & Daily Routines

     Helping Community

     Math Talk

 *
If selected as a speaker, please select the grade level/audience your presentation would be for:  

(You may choose more than one answer below, if needed)
 *
Required
Is there anyone else you'd recommend as a speaker? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Empower Consulting.

Does this form look suspicious? Report

Google Forms