Speaker Proposal Form

BBC- Genesee
Building on Behalf of Children
An Early Childhood Conference
presented by
Child Care Network, Great Start Collaborative Genesee
& the Genesee Intermediate School District
Saturday, October 17, 2015
7:30 am to 3:30 pm
Mott Community College, Mott Memorial Building (Main Campus)
Flint, MI
There are two sessions of workshop times available. Presenters receive complimentary
conference registration and lunch. Please plan your workshop for one hour and 15 minutes.
Presenter Name____________________________Title_______________________________
Level of Education/Certification__________________________________________________
Co-Presenter Name _________________________Title_______________________________
Level of Education/Certification __________________________________________________
Co-Presenter Name _________________________Title_______________________________
Level of Education/Certification __________________________________________________
Business or Organization ________________________________________________________
Address ___________________________________City_____________________Zip________
Daytime Phone___________________________Email_________________________________
Workshop Title ________________________________________________________________
Workshop Objectives/description for brochure and website.
(Please use 50 words or less. Descriptions may be modified based on space in the brochure)
__________________________________________________________________________ ____
Please answer the following questions:
1. Type of presentation: Lecture ________
Make and Take__________
2. How many sessions are you willing to present?
Session 1
9:30-10:45 am
Session 2
2:15 - 3:30 pm
3. 15 minutes is scheduled for set up and 15 minutes for cleanup: Will you need additional
time for set-up or clean-up? If so, how much additional time will you need? _______________
4. Select the track that encompasses your workshop subject matter.
(No more than two)
o Cultural Awareness/Diversity
o Accreditation/Quality Improvement
o Professionalism
o Literacy
o Program Management/Administrators
o Infant Toddler
o Child Development & Guidance
o School-Age
o Teaching & Learning
o Preschool
o Parent/ Family Engagement
o Trauma Informed Care
o Health
o Inclusion, Children with different abilities
5. Select the target audience for your workshop.
6. Audio-visual information: You are welcome to use audio visual equipment during your
presentation. Please indicate below your interest:
o I will not be using audio visual equipment
o I will provide my own audio visual equipment
o I will use the audio visual equipment in the classroom
7. Proposal Requirements
 Please plan your workshop for one hour and 15 minutes. Participants must remain
engaged in workshops for the full 75 minutes per session to receive SCECHs.
 Additional learning objectives and more detailed outline may be required at a later date.
Please return this proposal for consideration no later than
May 30, 2015 to:
Child Care Network
Attn: Workshop Proposal
1509 East Court Street, Suite 101
Flint, MI 48503
Or to [email protected]
Questions? Contact Becky: 810-407-7285